Organization
BACK TO BASICS HEALTH CARE SERVICES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. QUINCY POWELL SR. (MANAGING PARTNER)
(803) 529-9000
Entity
Organization
Contact information
Practice address
821 BRICKINGHAM WAY, COLUMBIA, SC 29229-9551
(803) 529-9003
(803) 306-6706
Mailing address
821 BRICKINGHAM WAY, COLUMBIA, SC 29229-9551
(803) 529-9003
(803) 306-6706
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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