Lyons Heart Primary Care Llc | |
5816 Shakespeare Rd Ste C Columbia SC 29223-7233 | |
(803) 361-3244 | |
Not Available |
Full Name | Lyons Heart Primary Care Llc |
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Speciality | Clinic/Center |
Location | 5816 Shakespeare Rd Ste C, Columbia, South Carolina |
Authorized Official Name and Position | Sherri Mccain (OWNER) |
Authorized Official Contact | 8033613244 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lyons Heart Primary Care Llc 10120 Two Notch Rd Ste 2 Columbia SC 29223-4385 Ph: () - | Lyons Heart Primary Care Llc 5816 Shakespeare Rd Ste C Columbia SC 29223-7233 Ph: (803) 361-3244 |
NPI Number | 1497490676 |
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Provider Enumeration Date | 05/02/2022 |
Last Update Date | 05/02/2022 |
Medicare PECOS PAC ID | 1456720127 |
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Medicare Enrollment ID | O20221220001552 |
Identifier | Type | State | Issuer |
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1497490676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Provider Name | Sherri L Mccain |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730558677 PECOS PAC ID: 0446550271 Enrollment ID: I20151201002219 |
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 | |