Palmetto Health University Of South Carolina Medical Group | |
3600 Forest Dr Fl 3 Columbia SC 29204-4052 | |
(803) 749-5101 | |
(803) 933-3045 |
Full Name | Palmetto Health University Of South Carolina Medical Group |
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Speciality | Family Medicine |
Location | 3600 Forest Dr Fl 3, Columbia, South Carolina |
Authorized Official Name and Position | William D. Anderson Iii, (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 8035455005 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Palmetto Health University Of South Carolina Medical Group Po Box 743904 Atlanta GA 30374-3904 Ph: (803) 296-7320 | Palmetto Health University Of South Carolina Medical Group 3600 Forest Dr Fl 3 Columbia SC 29204-4052 Ph: (803) 749-5101 |
NPI Number | 1053817320 |
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Provider Enumeration Date | 04/04/2018 |
Last Update Date | 04/04/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053817320 | NPI | - | NPPES |
GP7530 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (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 | |