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Organization
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Active
Organization
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Active
Other names
Eau Claire Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DELGADO CANTAVE (CEO)
(803) 733-5969
Entity
Organization
Contact information
Practice address
4605 MONTICELLO RD STE 2, BUILDING B, COLUMBIA, SC 29203-4156
(803) 705-3172
(803) 705-3173
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5969
(803) 753-5591
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CBP018
—
SC
05
—
FQC031
—
SC
05
—
FQC165
—
SC
Enumeration date
08/03/2011
Last updated
09/11/2025
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