| NPI | 1861066854 |
|---|---|
| Doing Business As | CAPITAL CITY HEALTH AND WELLNESS AT COLUMBIA AREA MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | TRACY L TURNER Program Manager 803-898-4821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2021-05-14 |