Organization
SOUTH CAROLINA ENDOSCOPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W SCHABERG MD (MEDICAL DIRECTOR)
(803) 796-0642
Entity
Organization
Contact information
Practice address
131 SUMMERPLACE DR, WEST COLUMBIA, SC 29169-3058
(803) 796-0642
(803) 796-3130
Mailing address
131 SUMMERPLACE DR, WEST COLUMBIA, SC 29169-3058
(803) 796-0642
(803) 796-3130
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC015
—
SC
Enumeration date
07/05/2006
Last updated
07/29/2025
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