Sandhills Internal Medicine Llc | |
105 Summit Centre Cir Columbia SC 29229-7758 | |
(803) 233-1338 | |
(803) 832-1495 |
Full Name | Sandhills Internal Medicine Llc |
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Speciality | Internal Medicine |
Location | 105 Summit Centre Cir, Columbia, South Carolina |
Authorized Official Name and Position | Kristina Hursey (OWNER/AUTHORIZED OFFICIAL) |
Authorized Official Contact | 8032331338 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sandhills Internal Medicine Llc 105 Summit Centre Cir Columbia SC 29229-7758 Ph: (803) 233-1338 | Sandhills Internal Medicine Llc 105 Summit Centre Cir Columbia SC 29229-7758 Ph: (803) 233-1338 |
NPI Number | 1841717154 |
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Provider Enumeration Date | 08/28/2017 |
Last Update Date | 11/14/2018 |
Medicare PECOS PAC ID | 7911264676 |
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Medicare Enrollment ID | O20171205001731 |
Identifier | Type | State | Issuer |
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1841717154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Kristina P Hursey |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124070768 PECOS PAC ID: 9638109903 Enrollment ID: I20091001000750 |
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