| Palmetto Primary Care Physicians-columbia Laboratory | |
|
7611 Saint Andrews Rd Irmo SC 29063-2834 | |
| (803) 350-9433 | |
| (843) 732-2123 |
| Full Name | Palmetto Primary Care Physicians-columbia Laboratory |
|---|---|
| Speciality | Family Medicine |
| Location | 7611 Saint Andrews Rd, Irmo, South Carolina |
| Authorized Official Name and Position | Brenda Reeve (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 8438203403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Primary Care Physicians-columbia Laboratory Po Box 530062 Atlanta GA 30353-0062 Ph: (843) 695-6071 | Palmetto Primary Care Physicians-columbia Laboratory 7611 Saint Andrews Rd Irmo SC 29063-2834 Ph: (803) 350-9433 |
| NPI Number | 1609410794 |
|---|---|
| Provider Enumeration Date | 10/31/2019 |
| Last Update Date | 11/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609410794 | NPI | - | NPPES |
| GP9565 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
Palmetto Health - University Of South Carolina Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1079 Dutch Fork Rd, Irmo, SC 29063 Phone: 803-749-8900 | |
Dutch Fork Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Dutchman Blvd., Irmo, SC 29063 Phone: 803-732-8370 Fax: 803-732-8373 | |
Vertical Treatment Centers Columbia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Oak Park Dr Ste C, Irmo, SC 29063 Phone: 864-991-8884 | |
Tms Columbia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Kinley Rd, Irmo, SC 29063 Phone: 803-407-7258 Fax: 803-407-7259 | |
Lexington Family Practice Ballentine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1846 Dutch Fork Road, Irmo, SC 29063 Phone: 803-781-5200 Fax: 803-781-3843 | |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7611 Saint Andrews Rd, Irmo, SC 29063 Phone: 803-714-3300 Fax: 803-626-9356 | |
Tlc Laser Eye Centers Columbia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 Lake Murray Blvd., Suite A., Irmo, SC 29063 Phone: 803-753-7730 |