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NPI Code Detail

MEDICARE: DOCTORS CARE SC, PA

MEDICARE: DOCTORS CARE SC, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician
2208D00000XGeneral Practice Physician
3207Q00000XFamily Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528307550
Entity Type Code : Organization
Provider Name (Legal Business Name) : DOCTORS CARE SC, PA
Provider Business Mailing Address
First Line : 1818 HENDERSON ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2619
Country : US
Telephone Number : 803-758-2600
Fax Number : 803-253-8896
Provider Business Practice Location Address
First Line : 2836 AUGUSTA RD
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29170-3323
Country : US
Telephone Number : 803-939-0545
Fax Number : 803-939-0583
Authorized Official
Title or Position : CHIEF MEDICAL OFFICER
Name : DR. SHELLEY JANSSEN
Credential : MD
Telephone Number : 803-782-4278
Provider Enumeration Date : 02/12/2013
Last Update Date : 09/09/2020

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1578521076 — DR. PHILIP C HONIG MD
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1659501799 — ELIZABETH H DARRAGH MD
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1831647411 — ANNA DOROTHEA POLLAK FNP
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1598214660 — SARAH ANNE BEAUDELAIRE PA
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1568997492 — MRS. JODI KATHERINE COCKERHAM ARNP, FNP-C
Practice Location Address:
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Practice Fax:

Directions to “DOCTORS CARE SC, PA ” Practice Location

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