Healthcare Provider Details

I. General information

NPI: 1851358238
Provider Name (Legal Business Name): ANDERSON SCHOOL DISTRICT TWO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10990 BELTON HONEA PATH HWY
HONEA PATH SC
29654-9506
US

IV. Provider business mailing address

10990 BELTON HONEA PATH HWY
HONEA PATH SC
29654-9506
US

V. Phone/Fax

Practice location:
  • Phone: 864-369-4001
  • Fax: 864-369-4049
Mailing address:
  • Phone: 864-369-4001
  • Fax: 864-369-4049

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. SHIRLEY F. KING
Title or Position: SPECIAL ED. ASSISTANT
Credential:
Phone: 864-369-4001