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Contact Information

HEATHER A MOUNT
1550 CAROLINA AVE
ORANGEBURG, SC29115-4944
 Phone: 803-533-5480
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health, State or Local

261QP0905X
Indicates primary specialty

NPI Profile & details for

NPI # 1336893957
Entity Organization
Organization subpart 1 Not specified
Enumeration date 02/11/2022
Last updated 02/11/2022 - About 4 years ago
Identifiers
SC License # 95741
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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