| South Hampton Family Practice | |
|
5900 Garners Ferry Rd Columbia SC 29209-1301 | |
| (803) 695-5450 | |
| (803) 695-5469 |
| Full Name | South Hampton Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 5900 Garners Ferry Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Darrell C Coven (DIRECTOR OF BUSINESS DEV., FINANCE) |
| Authorized Official Contact | 8032331025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Hampton Family Practice Po Box 402145 Atlanta GA 30384-2145 Ph: (803) 695-5450 | South Hampton Family Practice 5900 Garners Ferry Rd Columbia SC 29209-1301 Ph: (803) 695-5450 |
| NPI Number | 1194770958 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 10/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194770958 | NPI | - | NPPES |
| GP2836 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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