| Organization Name: | SOUTH CAROLINA DEPARTMENT OF CORRECTIONS |
| NPI Number: | 1104259340 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN BRANHAM TOMARCHIO (MEDICAL DIRECTOR) |
| Mailing Address: | 4444 Broad River Rd Columbia |
| State: | SC US |
| Postal Code: | 292104012 |
| Phone Number: | 8038962707 |
| Fax Number: | |
| NPI Enumeration Date: | 08/12/2013 |
| NPI Last Update Date: | 08/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 33514 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |