Organization
ADVANCED CARE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY E DAVIS CMC (CEO)
(877) 467-7402
Entity
Organization
Contact information
Practice address
1225 LAUREL ST, SUITE 109, COLUMBIA, SC 29201-5818
(877) 467-7402
Mailing address
1225 LAUREL ST, SUITE 109, COLUMBIA, SC 29201-5818
(877) 467-7402
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX0861
—
SC
Enumeration date
12/05/2007
Last updated
04/23/2013
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