Provider Demographics
NPI:1912956749
Name:FIRST CARE. INC
Entity type:Organization
Organization Name:FIRST CARE. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:IZARD
Authorized Official - Middle Name:R
Authorized Official - Last Name:IZARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-736-2530
Mailing Address - Street 1:2406 DECKER BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29206-2362
Mailing Address - Country:US
Mailing Address - Phone:803-736-2530
Mailing Address - Fax:803-736-4830
Practice Address - Street 1:2406 DECKER BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29206-2362
Practice Address - Country:US
Practice Address - Phone:803-736-2530
Practice Address - Fax:803-736-4830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9044207R00000X
SC12878207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC2601Medicare ID - Type Unspecified