Healthcare Provider Details

I. General information

NPI: 1114006897
Provider Name (Legal Business Name): FLORENCE COUNTY SCHOOL DISTRICT FIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 S. GEORGETOWN HWY
JOHNSONVILLE SC
29555
US

IV. Provider business mailing address

237 S. GEORGETOWN HWY
JOHNSONVILLE SC
29555
US

V. Phone/Fax

Practice location:
  • Phone: 834-386-2609
  • Fax: 834-386-9058
Mailing address:
  • Phone: 834-386-2609
  • Fax: 834-386-9058

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AUBREY DALE STRICKLAND
Title or Position: CEO
Credential:
Phone: 843-386-2358