DEDICATED SOUTH CAROLINA HOLDING, LLC is a non pharmacy dispensing site in Columbia, SC. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) DEDICATED SOUTH CAROLINA HOLDING, LLC NPI is 1326779885. The provider is registered as an organization entity type.
The provider Is Doing Business As Dedicated Senior Medical Center Fairwold.
The provider's business location address is:
5900 N MAIN ST
COLUMBIA, SC
ZIP 29203-227
Phone: (803) 888-5425
Fax: (803) 830-7157
The provider's authorized official is Mary Chen .
The authorized official title is Authorized Official and has the following contact phone number (786) 618-7245.
The CLIA number assigned to this NPI record is 42D2271403 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/23/2022 and was last updated on 2/1/2023.