Organization
DOCTORS CARE SC, PA
Active
Other names
Doctors Care Indian Land
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY JANSSEN JR. MD (CHIEF MEDICAL OFFICER)
(803) 782-4278
Entity
Organization
Contact information
Practice address
8384 CHARLOTTE HIGHWAY, INDIAN LAND, SC 29707-6532
(803) 547-2426
(803) 547-2428
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2602
(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
12/20/2016
Last updated
09/09/2020
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