4Ola Health Solutions, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

4OLA HEALTH SOLUTIONS, LLC

Practice address

11382 N Jacob Smart Blvd
Ridgeland, SC 29936-2700

Phone

(843) 645-9797

Fax

(843) 645-9798

NPI assigned

Feb 25, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Althea Graham

Title

Project Manager

Phone

(843) 475-4333

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1750848917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11382 N JACOB SMART BLVD",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299362700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11382 N JACOB SMART BLVD",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299362700",
            "telephone_number": "843-645-9797",
            "fax_number": "843-645-9798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1875 N Paris Ave",
            "address_purpose": "LOCATION",
            "city": "Port Royal",
            "state": "SC",
            "postal_code": "299352029",
            "country_code": "US",
            "telephone_number": "843-522-3870",
            "fax_number": "843-522-0691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "4OLA HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ALTHEA",
        "authorized_official_title_or_position": "PROJECT MANAGER",
        "authorized_official_telephone_number": "843-475-4333"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ridgeland, SC
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.