NPI 1366547101

Capitol ER Group LLC

Organisation Emergency Medicine Physician Columbia, SC

Practice location

Address: 120 Gateway Corporate Blvd, Columbia, SC 29203-9802
Phone: (803) 865-4500
Mailing address: PO Box 12350, Westminster, CA 92685-2350

Authorised official

Name: David C Winn
Title: Finance Officer Member
Phone: (800) 657-7103

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X

Other Emergency Medicine providers in South Carolina →

Registry record

NPI: 1366547101
Entity type: Organization
NPI issued: 14 Sep 2006
Record last updated: 15 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.