Capital City Medicine, Inc | |
1415 Blanding St #3 Columbia SC 29201-2922 | |
(803) 256-1111 | |
(855) 291-1657 |
Full Name | Capital City Medicine, Inc |
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Speciality | Clinic/Center |
Location | 1415 Blanding St, Columbia, South Carolina |
Authorized Official Name and Position | Deidre L Toomer-clowney (OWNER) |
Authorized Official Contact | 8032561111 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Capital City Medicine, Inc 1415 Blanding St #3 Columbia SC 29201-2922 Ph: (803) 256-1111 | Capital City Medicine, Inc 1415 Blanding St #3 Columbia SC 29201-2922 Ph: (803) 256-1111 |
NPI Number | 1881068583 |
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Provider Enumeration Date | 11/18/2015 |
Last Update Date | 11/18/2015 |
Medicare PECOS PAC ID | 9234439969 |
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Medicare Enrollment ID | O20151201002335 |
Identifier | Type | State | Issuer |
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1881068583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Deidre L Toomer-clowney |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366530735 PECOS PAC ID: 0143369116 Enrollment ID: I20091204000033 |
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