<unavail> in Columbia, SC

is a primary clinic (Clinic/center - Multi-specialty) in Columbia, South Carolina. The current practice location for is 201 Columbia Mall Blvd Ste 189, Columbia, South Carolina. For appointments, you can reach them via phone at (803) 404-7418. The mailing address for is 201 Columbia Mall Blvd Ste 189, Columbia, South Carolina and phone number is (803) 404-7418.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1346888948. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (803) 404-7418.

Contact Information


	201 Columbia Mall Blvd Ste 189 Columbia SC 29223-7550
	(803) 404-7418
	(888) 958-0279

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center - Multi-specialty
Location	201 Columbia Mall Blvd Ste 189, Columbia, South Carolina
Authorized Official Name and Position	Thelisa Y Sulton (OWNER)
Authorized Official Contact	8034047418
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
201 Columbia Mall Blvd Ste 189 Columbia SC 29223-7550 Ph: (803) 404-7418	201 Columbia Mall Blvd Ste 189 Columbia SC 29223-7550 Ph: (803) 404-7418

NPI Details:

NPI Number	1346888948
Provider Enumeration Date	12/13/2019
Last Update Date	02/03/2020

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346888948	NPI	-	NPPES
12345678	Other	SC	MULTI- SPECIALITY CLINIC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Secondary
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Columbia, SC

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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
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259
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

- Primary Care in Columbia, SC