Organization
DOCTORS CARE SC, PA
Active
Other names
Doctors Care Wateree
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS E GIBBONS MD (CHIEF MEDICAL OFFICER)
(803) 782-4278
Entity
Organization
Contact information
Practice address
1060 HIGHWAY 1 S, LUGOFF, SC 29078-9630
(803) 438-9759
(803) 438-9783
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2600
(803) 253-8896
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
05
—
GP0079
—
SC
Enumeration date
02/12/2013
Last updated
02/12/2013
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