| Bamberg County Djj | |
|
1162 North St Bamberg SC 29003-1275 | |
| (803) 245-5184 | |
| Not Available |
| Full Name | Bamberg County Djj |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1162 North St, Bamberg, South Carolina |
| Authorized Official Name and Position | Margaret Barber (AGENCY DIRECTOR) |
| Authorized Official Contact | 8038965940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bamberg County Djj Po Box 21069 Columbia SC 29221-1069 | Bamberg County Djj 1162 North St Bamberg SC 29003-1275 Ph: (803) 245-5184 |
| NPI Number | 1548513955 |
|---|---|
| Provider Enumeration Date | 10/23/2012 |
| Last Update Date | 10/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548513955 | NPI | - | NPPES |
| DJJ005 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |