Provider First Line Business Practice Location Address:
DEPT OF HEALTH AND HUMAN PERFORMANCE
Provider Second Line Business Practice Location Address:
COLLEGE OF CHARLESTON
Provider Business Practice Location Address City Name:
CHARLESTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29424-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
843-953-7163
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/15/2016