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DOCTORS CARE SC PA NPI 1194064196


NPI Information

NPI: 1194064196
Provider Name: DOCTORS CARE SC, PA

Doing Business As: DOCTORS CARE CHARLESTON WEST

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D0984923

Address:
3424 SHELBY RAY CT
CHARLESTON, SC
ZIP 29414
Phone: (843) 402-6834
Get Directions

DOCTORS CARE SC, PA is a family medicine in Charleston, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DOCTORS CARE SC, PA NPI is 1194064196. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Doctors Care Charleston West.

The provider's business location address is:

3424 SHELBY RAY CT
CHARLESTON, SC
ZIP 29414-838
Phone: (843) 402-6834
Fax: (843) 573-9963

The provider's authorized official is Shelley Janssen .
The authorized official title is Chief Medical Officer and has the following contact phone number (803) 782-4278.

The CLIA number assigned to this NPI record is 42D0984923 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/11/2013 and was last updated on 9/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineNo
2208D00000XGeneral PracticeNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP0106MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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