Palmetto Primary Care Physicians, Llc | |
3930 Devine St Columbia SC 29205-2804 | |
(803) 274-6272 | |
(803) 973-6627 |
Full Name | Palmetto Primary Care Physicians, Llc |
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Speciality | Family Medicine |
Location | 3930 Devine St, Columbia, South Carolina |
Authorized Official Name and Position | Scott Turner (CFO) |
Authorized Official Contact | 8436956071 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Palmetto Primary Care Physicians, Llc Po Box 530062 Atlanta GA 30353-0062 Ph: (843) 695-6071 | Palmetto Primary Care Physicians, Llc 3930 Devine St Columbia SC 29205-2804 Ph: (803) 274-6272 |
NPI Number | 1417510421 |
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Provider Enumeration Date | 04/16/2019 |
Last Update Date | 06/01/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417510421 | NPI | - | NPPES |
GP9030 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
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 | |