Healthcare Provider Details

I. General information

NPI: 1124432398
Provider Name (Legal Business Name): CATHY PATRICIA LEE CHING M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2014
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 E HOSPITAL DR STE 550
WEST COLUMBIA SC
29169-4843
US

IV. Provider business mailing address

2500 N. STATE STREET CBO-SUITE 4200
JACKSON MS
39216-4500
US

V. Phone/Fax

Practice location:
  • Phone: 803-936-7410
  • Fax: 803-936-7412
Mailing address:
  • Phone: 601-496-9794
  • Fax: 601-815-0434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number27552
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number94632
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: