Organization
DOCTORS CARE, P.A.
Active
Other names
Doctors Care Mauldin
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY JANSSEN MD (CHIEF MEDICAL OFFICER)
(803) 782-4278
Entity
Organization
Contact information
Practice address
793 EAST BUTLER ROAD, MAULDIN, SC 29662-3223
(864) 720-1442
(864) 720-1443
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
10/30/2017
Last updated
09/09/2020
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