Organization
VI-CARE GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
F KIRK PETERSON (ADMINISTRATOR)
(803) 779-2273
Entity
Organization
Contact information
Practice address
5115 FOREST DR, SUITE B, COLUMBIA, SC 29206-4934
(803) 779-2273
(803) 799-0854
Mailing address
PO BOX 5721, COLUMBIA, SC 29250-5721
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
—
—
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
04/20/2007
Last updated
11/05/2007
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