Healthcare Provider Details

I. General information

NPI: 1003216102
Provider Name (Legal Business Name): CHRISTOPHER PRIDE APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2014
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SC HOUSE CALLS INC 111 DOCTORS CIR
COLUMBIA SC
29203
US

IV. Provider business mailing address

SC HOUSE CALLS INC 111 DOCTORS CIR
COLUMBIA SC
29203
US

V. Phone/Fax

Practice location:
  • Phone: 800-491-0909
  • Fax:
Mailing address:
  • Phone: 800-491-0909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN235938
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN235938
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: