Choochoos Miracle Corner Corporation

Specialty details in registry · Columbia, SC

Call (803) 845-8020 Directions

At a glance

1103 Belleview St # 104, Columbia, SC 29201-1871

NPPES record updated Oct 11, 2025. Public records can lag behind changes at a practice.

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Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1103 Belleview St # 104
Columbia, SC 29201-1871

Professional details: NPI, taxonomy & registry record

NPI1639045339

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 253Z00000X
Enumeration date: Oct 11, 2025
Record updated: Oct 11, 2025

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251B00000X

Specialty details in registry

253Z00000X · Primary

Specialty details in registry

282J00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1103 Belleview St # 104
Columbia, SC 29201-1871

Phone: (803) 845-8020

Mailing address

2019 DRIFTWOOD DR

COLUMBIA, SC 292106703

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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