CAPITAL CITY MEDICINE INC NPI 1881068583

NPI Information

CAPITAL CITY MEDICINE, INC is a primary care clinic center in Columbia, SC. CAPITAL CITY MEDICINE, INC NPI is 1881068583. The provider is registered as an organization entity type.

The provider's business location address is:

1415 BLANDING ST
#3
COLUMBIA, SC
ZIP 29201-922
Phone: (803) 256-1111
Fax: (855) 291-1657

The provider's authorized official is Deidre L Toomer-clowney .
The authorized official title is Owner and has the following contact phone number (803) 256-1111.

The CLIA number assigned to this NPI record is 42D0900441 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/18/2015 and was last updated on 11/18/2015.

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:

Other Identifiers

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

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