NPI | 1912541814 |
---|---|
Doing Business As | COLONIAL URGENT CARE |
Entity Type | Organization |
Authorized Contact | STEPHANIE KNIGHT DISHER Credentialing Specialist 803-773-5227 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207QS1201X Family Medicine, Sleep Medicine | |
207ZC0006X Pathology, Clinical Pathology | |
2084N0400X Psychiatry & Neurology, Neurology | |
208D00000X General Practice | |
261QU0200X Clinic/Center, Urgent Care | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LA2100X Nurse Practitioner, Acute Care | |
363LA2200X Nurse Practitioner, Adult Health | |
363LF0000X Nurse Practitioner, Family | |
363LP0200X Nurse Practitioner, Pediatrics | |
Enumeration Date | 2019-11-04 |
Last Update Date | 2023-08-08 |