<unavail> in Columbia, SC - Family Medicine

is a primary clinic (Family Medicine) in Columbia, South Carolina. The current practice location for is 105 Professional Park Drive, Columbia, South Carolina. For appointments, you can reach them via phone at (803) 865-4780. The mailing address for is 114 Gateway Corporate Blvd, Suite 425, Columbia, South Carolina and phone number is (803) 865-4780.

is licensed to practice in South Carolina (license number ) and its NPI number is 1053605196. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (803) 865-4780.

Contact Information


	105 Professional Park Drive Columbia SC 29229
	(803) 865-4780
	(803) 865-4932

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	105 Professional Park Drive, Columbia, South Carolina
Authorized Official Name and Position	Angela Haithcock (CREDENTIALING COORDINATOR)
Authorized Official Contact	8038654780
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
114 Gateway Corporate Blvd Suite 425 Columbia SC 29203-9740 Ph: (803) 865-4780	105 Professional Park Drive Columbia SC 29229 Ph: (803) 865-4780

NPI Details:

NPI Number	1053605196
Provider Enumeration Date	06/07/2011
Last Update Date	06/07/2011

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053605196	NPI	-	NPPES
DA2264	Other	SC	RAILROAD MEDICARE GROUP NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(South Carolina)	Primary

Reviews and Comments

Family Medicine in Columbia, SC

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Barton Creek Ct, Columbia, SC 29229 Phone: 803-256-2286 Fax: 803-419-8430
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1320 Main St Ste 300, Columbia, SC 29201 Phone: 657-400-5180
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
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Farrow Rd, Suite 230, Columbia, SC 29203 Phone: 803-799-1284 Fax: 803-799-8148
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
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Medical Park Suite 205, Palmetto Health Richland Diabetes Education, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-3040

- Primary Care in Columbia, SC