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Organization
DOCTORS CARE, P.A.
Active
Organization
DOCTORS CARE, P.A.
Active
Other names
Doctors Care Parkridge
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY JANSSEN MD (CHIEF MEDICAL OFFICER)
(803) 758-4258
Entity
Organization
Contact information
Practice address
100 PALMETTO HEALTH PKWY STE 104, COLUMBIA, SC 29212-1754
(803) 999-1214
(803) 999-1215
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2585
(803) 782-3445
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
SC
207Q00000X
Family Medicine Physician
Primary
—
SC
208D00000X
General Practice Physician
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5684
MEDICARE PIN
SC
05
—
GP0079
—
SC
Enumeration date
03/23/2018
Last updated
09/09/2020
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