Provider First Line Business Practice Location Address:
1000 FORT JOHNSON ROAD
Provider Second Line Business Practice Location Address:
JAMES ISLAND CHARTER HIGH SCHOOL
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-762-2754
Provider Business Practice Location Address Fax Number:
843-762-5228
Provider Enumeration Date:
11/12/2008