| Carolina Healthchoice Of Columbia, Llc | |
|
1494 Lake Murray Blvd Columbia SC 29212-8697 | |
| (803) 764-0464 | |
| (803) 764-3126 |
| Full Name | Carolina Healthchoice Of Columbia, Llc |
|---|---|
| Speciality | General Practice |
| Location | 1494 Lake Murray Blvd, Columbia, South Carolina |
| Authorized Official Name and Position | Charles Sloan (CFO) |
| Authorized Official Contact | 8037640464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Healthchoice Of Columbia, Llc 1494 Lake Murray Blvd Columbia SC 29212-8697 Ph: (803) 764-0464 | Carolina Healthchoice Of Columbia, Llc 1494 Lake Murray Blvd Columbia SC 29212-8697 Ph: (803) 764-0464 |
| NPI Number | 1922511658 |
|---|---|
| Provider Enumeration Date | 11/16/2017 |
| Last Update Date | 12/19/2018 |
| Medicare PECOS PAC ID | 7113289893 |
|---|---|
| Medicare Enrollment ID | O20180316000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922511658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
| Provider Name | Lorone Cowayne Washington |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174628077 PECOS PAC ID: 8921047515 Enrollment ID: I20050906000318 |
| Provider Name | Jennifer M Paglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356530497 PECOS PAC ID: 6103915921 Enrollment ID: I20071203000020 |
| Provider Name | Regina B Rouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487938825 PECOS PAC ID: 0042484974 Enrollment ID: I20111110000762 |
| Provider Name | Jon Kennon Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720320740 PECOS PAC ID: 2860626470 Enrollment ID: I20131015001627 |
| Provider Name | Veronica Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093248551 PECOS PAC ID: 4082003546 Enrollment ID: I20211123000608 |
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