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1301 Taylor St Ste 3q Columbia SC 29201-2942 | |
(803) 296-3070 | |
(803) 296-3040 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 1301 Taylor St Ste 3q, Columbia, South Carolina |
Authorized Official Name and Position | Polly H Miller (SVP FINANCE/ENTERPRISE CONTRACTING) |
Authorized Official Contact | 8645222286 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: (803) 296-2548 | 1301 Taylor St Ste 3q Columbia SC 29201-2942 Ph: (803) 296-3070 |
NPI Number | 1174604201 |
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Provider Enumeration Date | 10/17/2006 |
Last Update Date | 01/14/2025 |
Identifier | Type | State | Issuer |
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1174604201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |