Department Of Internal Medicine | |
2 Medical Park Rd Suite 502 Columbia SC 29203-6808 | |
(803) 540-1000 | |
(803) 540-1075 |
Full Name | Department Of Internal Medicine |
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Speciality | Internal Medicine |
Location | 2 Medical Park Rd, Columbia, South Carolina |
Authorized Official Name and Position | William D. Anderson (CMO) |
Authorized Official Contact | 8035401000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Department Of Internal Medicine 15 Medical Park Suite 300 Columbia SC 29203-6843 Ph: (803) 545-5022 | Department Of Internal Medicine 2 Medical Park Rd Suite 502 Columbia SC 29203-6808 Ph: (803) 540-1000 |
NPI Number | 1144258922 |
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Provider Enumeration Date | 06/29/2006 |
Last Update Date | 12/03/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144258922 | NPI | - | NPPES |
PC0227 | Medicaid | SC |
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 | |