Associates In Gastroenterology Pa | |
1070 Wildewood Ctr Dr Columbia SC 29229-9785 | |
(803) 788-1100 | |
(803) 788-4522 |
Full Name | Associates In Gastroenterology Pa |
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Speciality | Internal Medicine |
Location | 1070 Wildewood Ctr Dr, Columbia, South Carolina |
Authorized Official Name and Position | Siva Kumar Chockalingam (MEDICAL DOCTORPRESIDENT) |
Authorized Official Contact | 8037881100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Associates In Gastroenterology Pa 1070 Wildewood Ctr Dr Columbia SC 29229-9785 Ph: (803) 788-1100 | Associates In Gastroenterology Pa 1070 Wildewood Ctr Dr Columbia SC 29229-9785 Ph: (803) 788-1100 |
NPI Number | 1871596593 |
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Provider Enumeration Date | 05/27/2005 |
Last Update Date | 01/13/2012 |
Medicare PECOS PAC ID | 4284694670 |
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Medicare Enrollment ID | O20041011000480 |
Identifier | Type | State | Issuer |
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1871596593 | NPI | - | NPPES |
176712 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Paula A Anderson |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1568431674 PECOS PAC ID: 0446344915 Enrollment ID: I20080721000086 |
Provider Name | Siva Kumar Chockalingam |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1356300792 PECOS PAC ID: 2264463363 Enrollment ID: I20101011000814 |
Northlake Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Ne Medical Park, Ste 101, Columbia, SC 29223 Phone: 803-419-5131 Fax: 803-419-5130 | |
Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |