Healthcare Provider Details

I. General information

NPI: 1205960713
Provider Name (Legal Business Name): INTERNATIONAL ALLIANCE MINISTRIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3833 LEAPHART RD
WEST COLUMBIA SC
29169-2416
US

IV. Provider business mailing address

PO BOX 2128
LEXINGTON SC
29071-2128
US

V. Phone/Fax

Practice location:
  • Phone: 803-359-0382
  • Fax: 803-808-0965
Mailing address:
  • Phone: 803-359-0382
  • Fax: 803-808-0965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DARRELL EDWIN CROFT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 803-359-0382