Provider First Line Business Practice Location Address:
SC DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
Provider Second Line Business Practice Location Address:
2100 BULL STREET
Provider Business Practice Location Address City Name:
COLLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-898-0664
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/06/2017