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1330 Taylor At Marion Streets Palmetto Health Baptist Crna Columbia SC 29201 | |
(803) 296-2548 | |
(803) 296-2548 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 1330 Taylor At Marion Streets, Columbia, South Carolina |
Authorized Official Name and Position | Willie P Brown (DIRECTOR OF PATIENT ACCOUNTS) |
Authorized Official Contact | 8032962342 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Palmetto Health Baptist Crna Po Box 402141 Atlanta GA 30384-0001 Ph: (803) 296-2548 | 1330 Taylor At Marion Streets Palmetto Health Baptist Crna Columbia SC 29201 Ph: (803) 296-2548 |
NPI Number | 1104950450 |
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Provider Enumeration Date | 03/16/2007 |
Last Update Date | 10/11/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104950450 | NPI | - | NPPES |
SUFFIX 508 | Other | SC | BCBS FOR CRNA BAPTIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (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 | |