Healthcare Provider Details

I. General information

NPI: 1912956749
Provider Name (Legal Business Name): FIRST CARE. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2406 DECKER BLVD
COLUMBIA SC
29206-2362
US

IV. Provider business mailing address

2406 DECKER BLVD
COLUMBIA SC
29206-2362
US

V. Phone/Fax

Practice location:
  • Phone: 803-736-2530
  • Fax: 803-736-4830
Mailing address:
  • Phone: 803-736-2530
  • Fax: 803-736-4830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number12878
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number9044
License Number StateSC

VIII. Authorized Official

Name: DR. IZARD R IZARD
Title or Position: PRESIDENT
Credential: MD
Phone: 803-736-2530