Greater Columbia Ob-gyn, P.a. | |
1301 Taylor St Suite 3l Columbia SC 29201-2942 | |
(803) 252-0470 | |
(803) 252-0611 |
Full Name | Greater Columbia Ob-gyn, P.a. |
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Speciality | Clinic/center |
Location | 1301 Taylor St, Columbia, South Carolina |
Authorized Official Name and Position | Mahmoud Mostafa (OWNER) |
Authorized Official Contact | 8032520470 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Greater Columbia Ob-gyn, P.a. 1301 Taylor St Suite 3l Columbia SC 29201-2942 Ph: (803) 252-0470 | Greater Columbia Ob-gyn, P.a. 1301 Taylor St Suite 3l Columbia SC 29201-2942 Ph: (803) 252-0470 |
NPI Number | 1154309144 |
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Provider Enumeration Date | 01/09/2006 |
Last Update Date | 09/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154309144 | NPI | - | NPPES |
GP2086 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 8219 (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 | |