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3301 Harden Street Palmetto Health Columbia SC 29210 | |
(803) 296-2548 | |
(803) 296-2548 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 3301 Harden Street, Columbia, South Carolina |
Authorized Official Name and Position | Thomas B Eckert (DIR) |
Authorized Official Contact | 8032962548 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3301 Harden Street Palmetto Health Columbia SC 29210 Ph: (803) 296-2548 | 3301 Harden Street Palmetto Health Columbia SC 29210 Ph: (803) 296-2548 |
NPI Number | 1417116278 |
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Provider Enumeration Date | 06/06/2008 |
Last Update Date | 06/06/2008 |
Identifier | Type | State | Issuer |
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1417116278 | NPI | - | NPPES |
GP4523 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (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 | |