Organization
JCA INC
Active
Other names
National Men's Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS G LAUGHTER (ADMINISTRATOR)
(803) 736-9400
Entity
Organization
Contact information
Practice address
115 BLARNEY DR, COLUMBIA, SC 29223-6251
(803) 736-9400
(803) 736-6999
Mailing address
115 BLARNEY DR, COLUMBIA, SC 29223-6251
(803) 736-9400
(803) 736-6999
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
17898
SC
Other
Enumeration date
11/22/2006
Last updated
08/22/2020
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