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109 Barton Creek Court Columbia SC 29229 | |
(803) 256-2286 | |
(803) 419-8430 |
Full Name | |
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Speciality | Family Medicine |
Location | 109 Barton Creek Court, Columbia, South Carolina |
Authorized Official Name and Position | Melinda Sarvis (EXECUTIVE VP) |
Authorized Official Contact | 8037912000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 896239 Charlotte NC 28289-6239 Ph: (803) 256-2286 | 109 Barton Creek Court Columbia SC 29229 Ph: (803) 256-2286 |
NPI Number | 1770859522 |
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Provider Enumeration Date | 03/27/2012 |
Last Update Date | 09/17/2018 |
Identifier | Type | State | Issuer |
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1770859522 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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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 | |