Providence Physician Practices Llc | |
2001 Laurel St Ste 300 Columbia SC 29204-1018 | |
(803) 254-2786 | |
Not Available |
Full Name | Providence Physician Practices Llc |
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Speciality | Family Medicine |
Location | 2001 Laurel St, Columbia, South Carolina |
Authorized Official Name and Position | Kathy Teague (AVP, SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Providence Physician Practices Llc 114 Gateway Corporate Blvd Ste 425 Columbia SC 29203-9740 Ph: (803) 865-4780 | Providence Physician Practices Llc 2001 Laurel St Ste 300 Columbia SC 29204-1018 Ph: (803) 254-2786 |
NPI Number | 1689030595 |
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Provider Enumeration Date | 01/07/2016 |
Last Update Date | 01/13/2021 |
Identifier | Type | State | Issuer |
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1689030595 | NPI | - | NPPES |
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 | |