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Palmetto Health 15 Medical Park Drive Suite203 Columbia SC 29203 | |
(803) 296-2548 | |
(803) 296-3040 |
Full Name | |
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Speciality | Clinic/center |
Location | Palmetto Health, Columbia, South Carolina |
Authorized Official Name and Position | Thomas B Eckert (DIRECTOR OF PFS) |
Authorized Official Contact | 8032962548 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Palmetto Health Seniorcare 3555 Harden Street 15 Medical Park Suite203 Columbia SC 29203 Ph: (803) 296-2548 | Palmetto Health 15 Medical Park Drive Suite203 Columbia SC 29203 Ph: (803) 296-2548 |
NPI Number | 1457432478 |
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Provider Enumeration Date | 10/17/2006 |
Last Update Date | 01/28/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457432478 | NPI | - | NPPES |
EX0158 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (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 | |