Organization
CAROLINA OCCUPATIONAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL HENRY HEGQUIST MD (OWNER)
(803) 799-3926
Entity
Organization
Contact information
Practice address
1715 BLANDING ST, COLUMBIA, SC 29201-3441
(803) 799-3926
(803) 256-7896
Mailing address
1715 BLANDING ST, COLUMBIA, SC 29201-3441
(803) 799-3926
(803) 256-7896
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10320
SC
Other
Enumeration date
07/05/2008
Last updated
07/05/2008
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