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52 Clipper Way Columbia SC 29229-7005 | |
(248) 434-6169 | |
(855) 618-6655 |
Full Name | |
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Speciality | Family Medicine |
Location | 52 Clipper Way, Columbia, South Carolina |
Authorized Official Name and Position | Jeffrey M Stevens (OWNER) |
Authorized Official Contact | 2488246600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 639295 Dept 93394 Cincinnati OH 45263-9295 Ph: (248) 434-6169 | 52 Clipper Way Columbia SC 29229-7005 Ph: (248) 434-6169 |
NPI Number | 1982217592 |
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Provider Enumeration Date | 08/25/2020 |
Last Update Date | 08/22/2024 |
Identifier | Type | State | Issuer |
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1982217592 | NPI | - | NPPES |
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 | |