| Irmo Medical Center | |
|
120 Van Der Horst Dr Columbia SC 29229 | |
| (843) 610-8206 | |
| Not Available |
| Full Name | Irmo Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 120 Van Der Horst Dr, Columbia, South Carolina |
| Authorized Official Name and Position | John Webb (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8436108206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irmo Medical Center 120 Van Der Horst Dr Columbia SC 29229 Ph: () - | Irmo Medical Center 120 Van Der Horst Dr Columbia SC 29229 Ph: (843) 610-8206 |
| NPI Number | 1447532635 |
|---|---|
| Provider Enumeration Date | 09/13/2011 |
| Last Update Date | 09/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447532635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25966 (South Carolina) | Primary |
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