Organization
ROYAL HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUETTE CALDWELL MD (OWNER/PRESIDENT)
(803) 917-7302
Entity
Organization
Contact information
Practice address
3508 N MAIN ST, COLUMBIA, SC 29203-6437
(803) 699-9226
Mailing address
PO BOX 2102, COLUMBIA, SC 29202-2102
(803) 699-9226
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QA0005X
Ambulatory Family Planning Facility
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1000X
Migrant Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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