| Jack H. Gottlieb, M.d. | |
|
2601 Laurel St Suite 120 Columbia SC 29204-2033 | |
| (803) 254-7889 | |
| (803) 254-7893 |
| Full Name | Jack H. Gottlieb, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2601 Laurel St, Columbia, South Carolina |
| Authorized Official Name and Position | Angela Haithcock (PROJECT MANAGER) |
| Authorized Official Contact | 8038654780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack H. Gottlieb, M.d. 114 Gateway Corporate Blvd Suite 425 Columbia SC 29203-9740 Ph: (803) 865-4780 | Jack H. Gottlieb, M.d. 2601 Laurel St Suite 120 Columbia SC 29204-2033 Ph: (803) 254-7889 |
| NPI Number | 1780998161 |
|---|---|
| Provider Enumeration Date | 07/28/2010 |
| Last Update Date | 02/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780998161 | NPI | - | NPPES |
| 052052 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5205 (South Carolina) | Primary |
Palmetto Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Barton Creek Ct, Columbia, SC 29229 Phone: 803-256-2286 Fax: 803-419-8430 | |
South Carolina Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1320 Main St Ste 300, Columbia, SC 29201 Phone: 657-400-5180 | |
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 | |
Carolina Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Farrow Rd, Suite 230, Columbia, SC 29203 Phone: 803-799-1284 Fax: 803-799-8148 | |
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 | |
Five Points Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259 | |
Diabetes Educations Richland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Medical Park Suite 205, Palmetto Health Richland Diabetes Education, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-3040 |