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Organization

DOCTORS CARE, PA

Active
Other names
Doctors Care Shandon
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN FOSTER (CFO)
(803) 758-2595
Entity
Organization

Contact information

Practice address
2601 ROSEWOOD DR, COLUMBIA, SC 29205-3745
(803) 782-4051
(803) 790-6612
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2585
(803) 782-3445

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
Primary
208D00000X
General Practice Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5684
MEDICARE PIN
SC
05
GP0079
SC
Enumeration date
04/19/2018
Last updated
04/19/2018
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