Management Services of Santee
NPI #1104228311 in Santee, South Carolina
Provider Information
- NPI Number
- 1104228311
- Entity Type
- Organization
- Organization Name
- Management Services of Santee
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Sep 18, 2014
- Last Updated
- Sep 18, 2014
Practice Location
- Address
- 1580 BASS DR
- City
- Santee
- State
- South Carolina
- ZIP Code
- 29142-0000
- Phone
- (803) 854-4106
Authorized Official
- Name
- MS. VANESTER SEABROOKS RAVENELL
- Title
- BUSINESS MANAGER
- Phone
- (803) 854-4106
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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