Organization
CAROLINA HEALTHCHOICE OF ORANGEBURG, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER COMPTON (PRACTICE MANAGER)
(803) 764-0464
Entity
Organization
Contact information
Practice address
1737 VILLAGE PARK DR, ORANGEBURG, SC 29118-2475
(803) 939-6142
(803) 937-6837
Mailing address
1494 LAKE MURRAY BLVD, COLUMBIA, SC 29212-8697
(803) 764-0464
(803) 764-3126
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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