SOUTH CAROLINA PROVIDER SERVICES, LLC

CLEMSON, SC
NPI1003413469
Entity TypeOrganization
Authorized ContactJASON WILLIS
COO
864-202-7415
Organization Subpart ?No
Primary Taxonomy363LA2200X Nurse Practitioner Adult Health
Enumeration Date2020-10-07
Last Update Date2021-05-05
Business Address
SOUTH CAROLINA PROVIDER SERVICES, LLC
500 DOWNS LOOP
CLEMSON, SC 29631-2035
Phone number: 864-650-7475
Mailing Address
SOUTH CAROLINA PROVIDER SERVICES, LLC
200 BROWNING RD
CENTRAL, SC 29630-9440
Phone number: 864-650-7475
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