| Organization Name: | SOUTH CAROLINA HEALTH SERVICES |
| NPI Number: | 1992851075 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRI-MARIE MAHONEY (DIRECTOR) |
| Mailing Address: | 40 Okatie Center Blvd Suite 125 Okatie |
| State: | SC US |
| Postal Code: | 299097507 |
| Phone Number: | 8437058804 |
| Fax Number: | 8437058950 |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | ASF-075 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |