Ch Sc Tri-counties Llc | |
1520 Laurel St Columbia SC 29201-2623 | |
(843) 203-7023 | |
(888) 722-4282 |
Full Name | Ch Sc Tri-counties Llc |
---|---|
Speciality | Internal Medicine |
Location | 1520 Laurel St, Columbia, South Carolina |
Authorized Official Name and Position | Melissa M Cooke (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 9727153808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ch Sc Tri-counties Llc 4055 Valley View Ln Suite 400 Dallas TX 75244-5074 Ph: (972) 715-3800 | Ch Sc Tri-counties Llc 1520 Laurel St Columbia SC 29201-2623 Ph: (843) 203-7023 |
NPI Number | 1255732491 |
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Provider Enumeration Date | 09/08/2014 |
Last Update Date | 02/01/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255732491 | NPI | - | NPPES |
E130 | Other | SC | MEDICARE CERTIFICATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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 | |