Green Ridge Group Inc | |
100 Forum Dr Ste 3-255 Columbia SC 29229-7944 | |
(803) 795-5435 | |
Not Available |
Full Name | Green Ridge Group Inc |
---|---|
Speciality | Family Medicine - Geriatric Medicine |
Location | 100 Forum Dr, Columbia, South Carolina |
Authorized Official Name and Position | Thomas W Norris (CEO) |
Authorized Official Contact | 8037955435 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Green Ridge Group Inc 100 Forum Dr Ste 3-255 Columbia SC 29229-7944 Ph: () - | Green Ridge Group Inc 100 Forum Dr Ste 3-255 Columbia SC 29229-7944 Ph: (803) 795-5435 |
NPI Number | 1720310055 |
---|---|
Provider Enumeration Date | 02/11/2010 |
Last Update Date | 02/11/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720310055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | 13651 (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 | |