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Organization

COMPREHENSIVE CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT B BORUCKI MD (CO OWNER)
(803) 236-1511
Entity
Organization

Contact information

Practice address
1911 HAMPTON ST, COLUMBIA, SC 29201-3535
(803) 256-1511
(803) 256-7333
Mailing address
PO BOX 2246, COLUMBIA, SC 29202-2246
(803) 256-1511
(803) 256-7333

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP3521
SC
Enumeration date
03/14/2006
Last updated
03/09/2010
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