Oph Medical, Llc | |
61 Shoreline Dr Columbia SC 29229-7300 | |
(803) 665-6170 | |
(803) 788-5823 |
Full Name | Oph Medical, Llc |
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Speciality | Internal Medicine |
Location | 61 Shoreline Dr, Columbia, South Carolina |
Authorized Official Name and Position | Oliver Pierre Harden (CEO) |
Authorized Official Contact | 8036656170 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oph Medical, Llc 4611 Hard Scrabble Rd Suite 207 Columbia SC 29229-8584 Ph: (803) 665-6170 | Oph Medical, Llc 61 Shoreline Dr Columbia SC 29229-7300 Ph: (803) 665-6170 |
NPI Number | 1235459900 |
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Provider Enumeration Date | 06/04/2010 |
Last Update Date | 06/04/2010 |
Identifier | Type | State | Issuer |
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1235459900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 019338 (South Carolina) | 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 | |