Longcreek Family Practice | |
1606 Horseshoe Dr Columbia SC 29223-6202 | |
(803) 462-6733 | |
Not Available |
Full Name | Longcreek Family Practice |
---|---|
Speciality | Family Medicine |
Location | 1606 Horseshoe Dr, Columbia, South Carolina |
Authorized Official Name and Position | Catherine Schaefer (OWNER) |
Authorized Official Contact | 8034626733 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Longcreek Family Practice 1606 Horseshoe Dr Columbia SC 29223-6202 Ph: () - | Longcreek Family Practice 1606 Horseshoe Dr Columbia SC 29223-6202 Ph: (803) 462-6733 |
NPI Number | 1568502334 |
---|---|
Provider Enumeration Date | 02/08/2007 |
Last Update Date | 09/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568502334 | NPI | - | NPPES |
GP3355 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (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 | |