| NPI | 1598004509 |
|---|---|
| Doing Business As | DOCTORS CARE IVY HALL |
| Entity Type | Organization |
| Authorized Contact | SHELLEY JANSSEN Chief Medical Officer 803-782-4278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 207P00000X Emergency Medicine | |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2020-09-09 |