Organization
DOCTORS CARE SC, PA
Active
Other names
Doctors Care Moncks Corner
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY JANSSEN MD (CHIEF MEDICAL OFFICER)
(803) 782-4278
Entity
Organization
Contact information
Practice address
459 N HIGHWAY 52, MONCKS CORNER, SC 29461-3924
(843) 899-3870
(843) 899-3877
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2600
(803) 253-8896
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0106
—
SC
Enumeration date
02/11/2013
Last updated
09/09/2020
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