Passport Health Holdings LLC

NPI #1609206564 in West Columbia, South Carolina

Provider Information

NPI Number
1609206564
Entity Type
Organization
Organization Name
Passport Health Holdings LLC
Primary Specialty
Clinic/Center
Enumeration Date
Nov 13, 2013
Last Updated
Jul 12, 2016

Practice Location

Address
2318-B SUNSET BLVD
ZIP Code
29169-4716
Phone
(877) 358-8648

Authorized Official

Name
MR. DOUG SHACKELL
Title
DIRECTOR OF FINANCE
Phone
(480) 646-9024

Specialties & Taxonomy Codes

Specialty
Preventive Medicine - Public Health & General Preventive MedicinePublic Health & General Preventive Medicine
Clinic/Center

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