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2601 Laurel St Suite 230 Columbia SC 29204-2033 | |
(803) 865-4780 | |
(803) 865-4932 |
Full Name | |
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Speciality | Internal Medicine |
Location | 2601 Laurel St, Columbia, South Carolina |
Authorized Official Name and Position | Angela Haithcock (CREDETIALING COORDINATOR) |
Authorized Official Contact | 8038654780 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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114 Gateway Corporate Blvd Suite 425 Columbia SC 29203-9740 Ph: (803) 865-4780 | 2601 Laurel St Suite 230 Columbia SC 29204-2033 Ph: (803) 865-4780 |
NPI Number | 1871887919 |
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Provider Enumeration Date | 06/07/2011 |
Last Update Date | 06/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871887919 | NPI | - | NPPES |
DA2264 | Other | SC | RAILROAD MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 1376 (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 | |