Dillion County Djj | |
200 S 5th Ave Dillon SC 29536-3332 | |
(843) 774-4147 | |
Not Available |
Full Name | Dillion County Djj |
---|---|
Speciality | Community/behavioral Health |
Location | 200 S 5th Ave, Dillon, South Carolina |
Authorized Official Name and Position | Margaret Barber (AGENCY DIRECTOR) |
Authorized Official Contact | 8038965940 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dillion County Djj Po Box 21069 Columbia SC 29221-1069 Ph: () - | Dillion County Djj 200 S 5th Ave Dillon SC 29536-3332 Ph: (843) 774-4147 |
NPI Number | 1275887234 |
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Provider Enumeration Date | 10/30/2012 |
Last Update Date | 10/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275887234 | NPI | - | NPPES |
DJJ017 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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