| Organization Name: | SOUTH OFFICE OF RURAL HEALTH |
| NPI Number: | 1710159330 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VIRGINA BERRY WHITE (PROGRAM DIRECTOR) |
| Mailing Address: | 4899 Carolina Hwy Denmark |
| State: | SC US |
| Postal Code: | 290421675 |
| Phone Number: | 8037936000 |
| Fax Number: | 8037936192 |
| NPI Enumeration Date: | 03/25/2008 |
| NPI Last Update Date: | 06/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |