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CAPITAL CITY THERAPY GROUP LLC NPI 1942599089


NPI Information

NPI: 1942599089
Provider Name: CAPITAL CITY THERAPY GROUP, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
100 OLD CHEROKEE RD
SUITE F, BOX 172
LEXINGTON, SC
ZIP 29072
Phone: (803) 467-8596
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CAPITAL CITY THERAPY GROUP, LLC is a specialist in Lexington, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CAPITAL CITY THERAPY GROUP, LLC NPI is 1942599089. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 OLD CHEROKEE RD
SUITE F, BOX 172
LEXINGTON, SC
ZIP 29072-316
Phone: (803) 467-8596
Fax: (803) 356-0468

The provider's authorized official is Christine Speegle .
The authorized official title is Owner and has the following contact phone number 803804791758.

The enumeration date for this NPI number is 3/29/2011 and was last updated on 3/29/2011.


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
1235Z00000XSpeech-Language Pathologist3537SOUTH CAROLINANo
2174400000XSpecialist2606SOUTH CAROLINAYes

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
1TH1349MEDICAIDSOUTH CAROLINA
2SA0661MEDICAIDSOUTH 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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