| Northwoods Family Practice, Llc. | |
|
9313 Medical Plaza Dr Suite 302 North Charleston SC 29406-9155 | |
| (843) 553-0484 | |
| (843) 569-1556 |
| Full Name | Northwoods Family Practice, Llc. |
|---|---|
| Speciality | Family Medicine |
| Location | 9313 Medical Plaza Dr, North Charleston, South Carolina |
| Authorized Official Name and Position | Flournoy Colzey Walker (DOCTOR) |
| Authorized Official Contact | 8435530484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwoods Family Practice, Llc. 9313 Medical Plaza Dr Suite 302 North Charleston SC 29406-9155 Ph: (843) 553-0484 | Northwoods Family Practice, Llc. 9313 Medical Plaza Dr Suite 302 North Charleston SC 29406-9155 Ph: (843) 553-0484 |
| NPI Number | 1003916396 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 07/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003916396 | NPI | - | NPPES |
| GP0415 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8193 (South Carolina) | Primary |
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