Palmetto Health - University Of South Carolina Medical Group | |
2 Medical Park Rd Ste 203 Columbia SC 29203-6839 | |
(803) 545-6200 | |
Not Available |
Full Name | Palmetto Health - University Of South Carolina Medical Group |
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Speciality | Family Medicine |
Location | 2 Medical Park Rd Ste 203, 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: () - | Palmetto Health - University Of South Carolina Medical Group 2 Medical Park Rd Ste 203 Columbia SC 29203-6839 Ph: (803) 545-6200 |
NPI Number | 1881182525 |
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Provider Enumeration Date | 04/27/2018 |
Last Update Date | 04/27/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881182525 | NPI | - | NPPES |
GP7530 | Medicaid | SC |
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 | |