# DOCTORS CARE SC, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Doctors Care Ivy Hall
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598004509
- **Authorized official:** DR. SHELLEY JANSSEN MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (803) 782-4278

## Contact information

- **Practice address:** 3074 HIGHWAY 17 BYP N, MT PLEASANT, SC 29466-9315
- **Practice address phone:** (843) 884-6424
- **Practice address fax:** (843) 884-6994
- **Mailing address:** 1818 HENDERSON ST, COLUMBIA, SC 29201-2619
- **Mailing address phone:** (803) 758-2600
- **Mailing address fax:** (803) 253-8896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 02/11/2013
- **Last updated:** 09/09/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP0106 | — | SC |