Organization
DOCTORS CARE, P.A.
Active
Other names
Doctors Care Parkridge
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY JANSSEN MD (CHIEF MEDICAL OFFICER)
(803) 758-4258
Entity
Organization
Contact information
Practice address
100 PALMETTO HEALTH PKWY STE 104, COLUMBIA, SC 29212-1754
(803) 999-1214
(803) 999-1215
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
—
SC
207Q00000X
Family Medicine Physician
Primary
—
SC
208D00000X
General Practice Physician
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5684
MEDICARE PIN
SC
05
—
GP0079
—
SC
Enumeration date
03/23/2018
Last updated
09/09/2020
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