| CH SC Tri-counties LLC | |
|
1520 Laurel St Columbia SC 29201-2623 | |
| (843) 203-7023 | |
| (888) 722-4282 |
| Full Name | CH SC Tri-counties LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1520 Laurel St, Columbia, South Carolina |
| Authorized Official Name and Position | Melissa M Cooke (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9727153808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| CH SC Tri-counties LLC 4055 Valley View Ln Suite 400 Dallas TX 75244-5074 Ph: (972) 715-3800 | CH SC Tri-counties LLC 1520 Laurel St Columbia SC 29201-2623 Ph: (843) 203-7023 |
| NPI Number | 1255732491 |
|---|---|
| Provider Enumeration Date | 09/08/2014 |
| Last Update Date | 02/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255732491 | NPI | - | NPPES |
| E130 | Other | SC | MEDICARE CERTIFICATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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