Grace Medical Group, Llc | |
3025 Farrow Rd Columbia SC 29203 | |
(803) 933-0288 | |
(803) 933-9920 |
Full Name | Grace Medical Group, Llc |
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Speciality | Family Medicine |
Location | 3025 Farrow Rd, Columbia, South Carolina |
Authorized Official Name and Position | Cynthia Mathews-betts (MD) |
Authorized Official Contact | 8039330288 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grace Medical Group, Llc 3025 Farrow Rd Columbia SC 29203 Ph: (803) 933-0288 | Grace Medical Group, Llc 3025 Farrow Rd Columbia SC 29203 Ph: (803) 933-0288 |
NPI Number | 1346468204 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 08/17/2023 |
Medicare PECOS PAC ID | 0345149894 |
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Medicare Enrollment ID | O20040105000425 |
Identifier | Type | State | Issuer |
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1346468204 | NPI | - | NPPES |
GP3812 | Medicaid | SC |
Provider Name | Michelle A Rojas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205806718 PECOS PAC ID: 9234038787 Enrollment ID: I20040107000376 |
Provider Name | Cynthia L Matthews-betts |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588750103 PECOS PAC ID: 7416856968 Enrollment ID: I20040114000662 |
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 | |