Healthcare Provider Details

I. General information

NPI: 1487718045
Provider Name (Legal Business Name): BAMBERG SCHOOL DISTRICT TWO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 HOLLY AVE
DENMARK SC
29042-0345
US

IV. Provider business mailing address

8 NORTH BEECH AVE.
DENMARK SC
29042-0000
US

V. Phone/Fax

Practice location:
  • Phone: 803-793-3346
  • Fax: 803-793-2006
Mailing address:
  • Phone: 803-793-3346
  • Fax: 803-793-2006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateSC

VIII. Authorized Official

Name: DR. SECAIDA DECARTUS HOWELL
Title or Position: SUPERINTENDENT
Credential: PH.D.
Phone: 803-793-3346