Provider Demographics
NPI:1114110293
Name:DOVETREE MEDICAL STAFFING OF COLUMBIA, INC
Entity Type:Organization
Organization Name:DOVETREE MEDICAL STAFFING OF COLUMBIA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN ASST
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:C
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-627-0772
Mailing Address - Street 1:121 EXECUTIVE CENTER DR STE 113
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-8418
Mailing Address - Country:US
Mailing Address - Phone:803-750-9766
Mailing Address - Fax:803-772-7637
Practice Address - Street 1:1200 WOODRUFF RD STE G6
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5734
Practice Address - Country:US
Practice Address - Phone:864-627-0772
Practice Address - Fax:864-627-0852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care