| |
1333 Taylor St Ste 4e Columbia SC 29201-2949 | |
(803) 296-2548 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 1333 Taylor St Ste 4e, Columbia, South Carolina |
Authorized Official Name and Position | Polly H Miller (VP PAYOR STRATEGIES ALIGNMENT) |
Authorized Official Contact | 8645222286 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: (803) 296-2548 | 1333 Taylor St Ste 4e Columbia SC 29201-2949 Ph: (803) 296-2548 |
NPI Number | 1205337045 |
---|---|
Provider Enumeration Date | 02/27/2018 |
Last Update Date | 02/18/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205337045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (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 | |