| Crna Baptist | |
|
1330 Taylor At Marion Streets Palmetto Health Baptist Crna Columbia SC 29201 | |
| (803) 296-2548 | |
| (803) 296-2548 |
| Full Name | Crna Baptist |
|---|---|
| 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 |
|---|---|
| Crna Baptist Palmetto Health Baptist Crna Po Box 402141 Atlanta GA 30384-0001 Ph: (803) 296-2548 | Crna Baptist 1330 Taylor At Marion Streets Palmetto Health Baptist Crna Columbia SC 29201 Ph: (803) 296-2548 |
| NPI Number | 1104950450 |
|---|---|
| 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 |
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