Healthcare Provider Details
I. General information
NPI: 1679409486
Provider Name (Legal Business Name): URGENT CARE SERVICES OF SOUTH CAROLINA PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7620 GARNERS FERRY RD
COLUMBIA SC
29209-3810
US
IV. Provider business mailing address
1643 NW 136TH AVE STE 100
SUNRISE FL
33323-2857
US
V. Phone/Fax
- Phone: 803-365-8035
- Fax:
- Phone: 800-424-3672
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207P00000X |
| Taxonomy | Emergency Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NATHANIEL
JAMES
KESNER
Title or Position: PRESIDENT
Credential: DO
Phone: 304-312-6601