Centerwell Senior Primary Care (sc) Jv Pc | |
5900 N Main St Columbia SC 29203-6227 | |
(803) 610-4199 | |
Not Available |
Full Name | Centerwell Senior Primary Care (sc) Jv Pc |
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Speciality | Internal Medicine |
Location | 5900 N Main St, Columbia, South Carolina |
Authorized Official Name and Position | Megan Galvan (CREDENTIALING MANAGER) |
Authorized Official Contact | 3055002000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Centerwell Senior Primary Care (sc) Jv Pc 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: () - | Centerwell Senior Primary Care (sc) Jv Pc 5900 N Main St Columbia SC 29203-6227 Ph: (803) 610-4199 |
NPI Number | 1811717333 |
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Provider Enumeration Date | 10/10/2024 |
Last Update Date | 10/10/2024 |
Identifier | Type | State | Issuer |
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1811717333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
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