# PRIMARY CARE ENDOSCOPY OF COLUMBIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295988053
- **Authorized official:** DAVID WILLIAM HOLST (PRESIDENT, BOARD OF MANAGERS)
- **Authorized official phone:** (615) 345-6899

## Contact information

- **Practice address:** 1735 TAYLOR ST, COLUMBIA, SC 29201-3452
- **Practice address phone:** (803) 254-8449
- **Practice address fax:** (803) 254-8984
- **Mailing address:** 3100 W END AVE, SUITE 150, NASHVILLE, TN 37203-1320
- **Mailing address phone:** (615) 345-6900
- **Mailing address fax:** (615) 345-6905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/24/2008
- **Last updated:** 10/24/2008