Organization
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
Active
Other names
Capital City Health and Wellness at Columbia Area Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L TURNER (PROGRAM MANAGER)
(803) 898-4821
Entity
Organization
Contact information
Practice address
2715 COLONIAL DR # 200B, COLUMBIA, SC 29203-6818
(803) 898-4800
Mailing address
2715 COLONIAL DR # 200B, COLUMBIA, SC 29203-6818
(803) 898-8461
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
05/14/2021
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