Dale Rutledge Hamrick, Md, Llc | |
124 Spring Valley Ct Columbia SC 29223-5900 | |
(803) 462-0376 | |
(803) 462-0376 |
Full Name | Dale Rutledge Hamrick, Md, Llc |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 124 Spring Valley Ct, Columbia, South Carolina |
Authorized Official Name and Position | Dale Rutledge Hamrick (OWNER) |
Authorized Official Contact | 8034620376 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dale Rutledge Hamrick, Md, Llc Po Box 23656 Columbia SC 29224-3656 Ph: (803) 462-0376 | Dale Rutledge Hamrick, Md, Llc 124 Spring Valley Ct Columbia SC 29223-5900 Ph: (803) 462-0376 |
NPI Number | 1578585428 |
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Provider Enumeration Date | 07/23/2006 |
Last Update Date | 11/05/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578585428 | NPI | - | NPPES |
185711 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 18571 (South Carolina) | 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 | |