NPI 1104228311

Management Services of Santee

Organisation Exclusive Provider Organization Santee, SC

Practice location

Address: 1580 Bass Dr, Santee, SC 29142-0000
Phone: (803) 854-4106
Fax: (803) 854-5301
Mailing address: PO Box 947, Santee, SC 29142-0947

Authorised official

Name: Vanester Seabrooks Ravenell
Title: Business Manager
Phone: (803) 854-4106

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in South Carolina →

Registry record

NPI: 1104228311
Entity type: Organization
NPI issued: 18 Sep 2014
Record last updated: 18 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.