| Diabetes Educations Richland | |
|
9 Medical Park Suite 205 Palmetto Health Richland Diabetes Education Columbia SC 29203-6863 | |
| (803) 296-2548 | |
| (803) 296-3040 |
| Full Name | Diabetes Educations Richland |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 9 Medical Park Suite 205, Columbia, South Carolina |
| Authorized Official Name and Position | Polly H Miller (VP PAYOR STRATEGIES ALIGNMENT) |
| Authorized Official Contact | 8645222286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes Educations Richland Prisma Health Diabetes Education Attn: Karla K. Powell 300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: (803) 296-2548 | Diabetes Educations Richland 9 Medical Park Suite 205 Palmetto Health Richland Diabetes Education Columbia SC 29203-6863 Ph: (803) 296-2548 |
| NPI Number | 1053492280 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 05/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053492280 | NPI | - | NPPES |
| DEP012 | Other | SC | INHANCE MEDICAID GRP |
| 20029656 | Other | SC | SELECT HEALTH GRP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Palmetto Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Barton Creek Ct, Columbia, SC 29229 Phone: 803-256-2286 Fax: 803-419-8430 | |
South Carolina Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1320 Main St Ste 300, Columbia, SC 29201 Phone: 657-400-5180 | |
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 | |
Carolina Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Farrow Rd, Suite 230, Columbia, SC 29203 Phone: 803-799-1284 Fax: 803-799-8148 | |
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 | |
Five Points Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259 |