SearchSouth Carolina390200000X

Charity Self

NPI 1497677769 · on the registry since 2026

Practice

Address
902 Willcox Avenue Ext
Marion, SC 29571
Phone
(571) 277-1967

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
363A00000X
Sex
Female
Record last updated
2026-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina