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Organization
4OLA HEALTH SOLUTIONS, LLC
Active
Organization
4OLA HEALTH SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTHEA GRAHAM (PROJECT MANAGER)
(843) 475-4333
Entity
Organization
Contact information
Practice address
11382 N JACOB SMART BLVD, RIDGELAND, SC 29936-2700
(843) 645-9797
(843) 645-9798
Mailing address
11382 N JACOB SMART BLVD, RIDGELAND, SC 29936-2700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
NULL
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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