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NPI Code Detail

MEDICARE: CONTINUUM HEALTH PROVIDERS, LLC

MEDICARE: CONTINUUM HEALTH PROVIDERS, LLC
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1952182909
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONTINUUM HEALTH PROVIDERS, LLC
Provider Business Mailing Address
First Line : 1188 STONECREST BLVD STE 110
Second Line :
City : FORT MILL
State : SC
Zip : 29708-6633
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1188 STONECREST BLVD STE 110
Second Line :
City : FORT MILL
State : SC
Zip : 29708-6633
Country : US
Telephone Number : 803-207-0537
Fax Number :
Authorized Official
Title or Position : CEO
Name : GEORGE BOYKIN
Credential :
Telephone Number : 803-616-3171
Provider Enumeration Date : 10/06/2023
Last Update Date : 11/05/2025

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Directions to “CONTINUUM HEALTH PROVIDERS, LLC ” Practice Location

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