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114 Gateway Corporate Blvd Suite 330 Columbia SC 29203-9740 | |
(803) 865-4514 | |
(803) 865-4932 |
Full Name | |
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Speciality | Internal Medicine |
Location | 114 Gateway Corporate Blvd, Columbia, South Carolina |
Authorized Official Name and Position | Angela Haithcock (PROJECT MANAGER) |
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 | 114 Gateway Corporate Blvd Suite 330 Columbia SC 29203-9740 Ph: (803) 865-4514 |
NPI Number | 1144523051 |
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Provider Enumeration Date | 12/15/2010 |
Last Update Date | 02/06/2012 |
Identifier | Type | State | Issuer |
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1144523051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (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 | |