Carolina Healthchoice of Columbia, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CAROLINA HEALTHCHOICE OF COLUMBIA, LLC

Practice address

1494 Lake Murray Blvd
Columbia, SC 29212-8697

Phone

(803) 764-0464

Fax

(803) 764-3126

NPI assigned

Nov 16, 2017

Last updated

Dec 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Sloan

Title

Cfo

Phone

(803) 764-0464

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1922511658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1494 LAKE MURRAY BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128697",
            "telephone_number": "803-764-0464",
            "fax_number": "803-764-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1494 LAKE MURRAY BLVD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128697",
            "telephone_number": "803-764-0464",
            "fax_number": "803-764-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA HEALTHCHOICE OF COLUMBIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "803-764-0464"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Gold Construction, LLC
• Carolina Hair Rejuvenation Clinic LLC
• Carolina Healht & Wellness Center, LLC
• Carolina Health and Wellness
• Carolina Health Care, Inc.
• Carolina Interventional Pain Institute, LLC
• Carolina Kidney Specialists, LLC
• Carolina Medical Staffing
• Carolina OB/GYN Group, LLC
• Carolina Occupational Healthcare

• General Practice Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• General Practice Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.