Provider First Line Business Practice Location Address:
1053 CENTER STREET
Provider Second Line Business Practice Location Address:
SC HOUSE CALLS INC
Provider Business Practice Location Address City Name:
WEST COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29169
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-491-0909
Provider Business Practice Location Address Fax Number:
803-508-8845
Provider Enumeration Date:
04/23/2018