Proactive Md Sc,p.a. | |
1715 Blanding St Columbia SC 29201-3441 | |
(803) 999-5920 | |
Not Available |
Full Name | Proactive Md Sc,p.a. |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1715 Blanding St, Columbia, South Carolina |
Authorized Official Name and Position | Daria Jones (OPERATIONS PROJECT COORDINATOR) |
Authorized Official Contact | 8645010751 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Proactive Md Sc,p.a. 124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 | Proactive Md Sc,p.a. 1715 Blanding St Columbia SC 29201-3441 Ph: (803) 999-5920 |
NPI Number | 1861266496 |
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Provider Enumeration Date | 11/14/2023 |
Last Update Date | 11/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861266496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (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 | |