Provider Demographics
NPI:1558191585
Name:CONTINUUM PHYSICIAN MANAGEMENT LLC
Entity type:Organization
Organization Name:CONTINUUM PHYSICIAN MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-616-3171
Mailing Address - Street 1:1188 STONECREST BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-6633
Mailing Address - Country:US
Mailing Address - Phone:803-616-3171
Mailing Address - Fax:
Practice Address - Street 1:1188 STONECREST BLVD STE 110
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-6633
Practice Address - Country:US
Practice Address - Phone:803-616-3171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-05
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No273R00000XHospital UnitsPsychiatric Unit