# 4OLA HEALTH SOLUTIONS, LLC

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

## Provider details

- **NPI number:** 1750848917
- **Authorized official:** ALTHEA GRAHAM (PROJECT MANAGER)
- **Authorized official phone:** (843) 475-4333

## Contact information

- **Practice address:** 11382 N JACOB SMART BLVD, RIDGELAND, SC 29936-2700
- **Practice address phone:** (843) 645-9797
- **Practice address fax:** (843) 645-9798
- **Mailing address:** 11382 N JACOB SMART BLVD, RIDGELAND, SC 29936-2700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2019
- **Last updated:** 02/25/2019