| Colleton County Djj | |
|
40 Klein St Walterboro SC 29488-3973 | |
| (843) 549-1509 | |
| Not Available |
| Full Name | Colleton County Djj |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 40 Klein St, Walterboro, 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 |
|---|---|
| Colleton County Djj Po Box 21069 Columbia SC 29221-1069 | Colleton County Djj 40 Klein St Walterboro SC 29488-3973 Ph: (843) 549-1509 |
| NPI Number | 1922352988 |
|---|---|
| Provider Enumeration Date | 10/30/2012 |
| Last Update Date | 10/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922352988 | NPI | - | NPPES |
| DJJ015 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
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