Kershaw County Djj | |
1121 Broad St Camden SC 29020-3623 | |
(803) 432-9171 | |
Not Available |
Full Name | Kershaw County Djj |
---|---|
Speciality | Community/behavioral Health |
Location | 1121 Broad St, Camden, 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 |
---|---|
Kershaw County Djj Po Box 21069 Columbia SC 29221-1069 Ph: () - | Kershaw County Djj 1121 Broad St Camden SC 29020-3623 Ph: (803) 432-9171 |
NPI Number | 1336493253 |
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Provider Enumeration Date | 10/30/2012 |
Last Update Date | 10/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336493253 | NPI | - | NPPES |
DJJ028 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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