Organization
PRIMARY CARE ENDOSCOPY OF COLUMBIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID WILLIAM HOLST (PRESIDENT, BOARD OF MANAGERS)
(615) 345-6899
Entity
Organization
Contact information
Practice address
1735 TAYLOR ST, COLUMBIA, SC 29201-3452
(803) 254-8449
(803) 254-8984
Mailing address
3100 W END AVE, SUITE 150, NASHVILLE, TN 37203-1320
(615) 345-6900
(615) 345-6905
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2008
Last updated
10/24/2008
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