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NPI Code Detail

MEDICARE: CHARLESTON COUNTY SCHOOL DISTRICT

MEDICARE: CHARLESTON COUNTY SCHOOL DISTRICT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588615918
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHARLESTON COUNTY SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 75 CALHOUN ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29401-3538
Country : US
Telephone Number : 843-937-6500
Fax Number : 843-937-6503
Provider Business Practice Location Address
First Line : 75 CALHOUN ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29401-3538
Country : US
Telephone Number : 843-937-6500
Fax Number : 843-937-6503
Authorized Official
Title or Position : EXECUTIVE DIRECTOR/SPECIAL ED.
Name : DR. CONNIE MATHIS
Credential :
Telephone Number : 843-937-6500
Provider Enumeration Date : 05/12/2006
Last Update Date : 08/22/2020

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Directions to “CHARLESTON COUNTY SCHOOL DISTRICT ” Practice Location

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