Healthcare Provider Details
I. General information
NPI: 1851038749
Provider Name (Legal Business Name): WE CARE FAMILY HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2022
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1120 SPARKLEBERRY LANE EXT STE A
COLUMBIA SC
29223-7078
US
IV. Provider business mailing address
1120 SPARKLEBERRY LANE EXT STE A
COLUMBIA SC
29223-7078
US
V. Phone/Fax
- Phone: 276-613-4111
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BHADRIK
PATEL
Title or Position: OWNER
Credential: PA
Phone: 276-613-4111