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Organization

YOUR HEALTH PRIMARY CARE OF SC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW M STAUB (CEO)
(803) 730-8910
Entity
Organization

Contact information

Practice address
1053 CENTER ST, WEST COLUMBIA, SC 29169-6749
(803) 457-5129
Mailing address
1053 CENTER ST, WEST COLUMBIA, SC 29169-6749
(803) 457-5129

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
06/25/2025
Last updated
06/30/2025
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