Healthcare Provider Details

I. General information

NPI: 1134692676
Provider Name (Legal Business Name): VERITAS HEALTH GROUP. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2019
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 COLUMBIA AVE
LEXINGTON SC
29072-2611
US

IV. Provider business mailing address

PO BOX 8746
COLUMBIA SC
29202-8746
US

V. Phone/Fax

Practice location:
  • Phone: 803-399-8793
  • Fax: 803-675-5516
Mailing address:
  • Phone: 803-399-8793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: KAREN SANFORD ERIKSON
Title or Position: DIRECTION OF BILLING
Credential:
Phone: 803-399-8793