Kynora Medical Group, Llc | |
540 Saint Andrews Rd Ste 216a Columbia SC 29210-4500 | |
(803) 261-0175 | |
(803) 291-5942 |
Full Name | Kynora Medical Group, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 540 Saint Andrews Rd Ste 216a, Columbia, South Carolina |
Authorized Official Name and Position | Paris S Gartmon (NURSE PRACTITIONER) |
Authorized Official Contact | 8033867559 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kynora Medical Group, Llc 540 Saint Andrews Rd Ste 216a Columbia SC 29210-4500 Ph: (803) 261-0175 | Kynora Medical Group, Llc 540 Saint Andrews Rd Ste 216a Columbia SC 29210-4500 Ph: (803) 261-0175 |
NPI Number | 1255096541 |
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Provider Enumeration Date | 11/02/2021 |
Last Update Date | 11/02/2021 |
Identifier | Type | State | Issuer |
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1255096541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | 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 | |