Organization
JOSEPH H. NEAL HEALTH COLLABORATIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAY J PRYOR (DIRECTOR OF OPERATIONS)
(803) 386-0475
Entity
Organization
Contact information
Practice address
1411 BARNWELL ST STE 1, COLUMBIA, SC 29201-3567
(803) 386-0475
(803) 764-3005
Mailing address
1411 BARNWELL ST STE 1, COLUMBIA, SC 29201-3567
(803) 386-0475
(803) 764-3005
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0505X
Adult Medicine Physician
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
12/10/2020
Last updated
02/22/2022
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