Healthcare Provider Details

I. General information

NPI: 1265498166
Provider Name (Legal Business Name): UNIVERSITY OF SOUTH CAROLINA SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2006
Last Update Date: 05/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 HUBBARD DRIVE
LANCASTER SC
29720
US

IV. Provider business mailing address

PO BOX 889
LANCASTER SC
29721
US

V. Phone/Fax

Practice location:
  • Phone: 803-313-7011
  • Fax: 803-313-7438
Mailing address:
  • Phone: 803-313-7011
  • Fax: 803-313-7438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM F RINER JR.
Title or Position: DIRECTOR HEALTH SERVICES
Credential: PHD
Phone: 803-313-7012