<unavail> in Columbia, SC

is a primary clinic (Clinic/center) in Columbia, South Carolina. The current practice location for is 4100 N Main St Ste 104, Columbia, South Carolina. For appointments, you can reach them via phone at (843) 229-5626. The mailing address for is 4100 N Main St Ste 104, Columbia, South Carolina and phone number is (843) 229-5626.

is licensed to practice in South Carolina (license number 119254555) and its NPI number is 1497249874. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (843) 229-5626.

Contact Information


	4100 N Main St Ste 104 Columbia SC 29203-5800
	(843) 229-5626
	(803) 814-2520

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center
Location	4100 N Main St Ste 104, Columbia, South Carolina
Authorized Official Name and Position	Chirvella Louise Terry (TECHNICIAN)
Authorized Official Contact	8432295626
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
4100 N Main St Ste 104 Columbia SC 29203-5800 Ph: (843) 229-5626	4100 N Main St Ste 104 Columbia SC 29203-5800 Ph: (843) 229-5626

NPI Details:

NPI Number	1497249874
Provider Enumeration Date	06/19/2018
Last Update Date	06/19/2018

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497249874	NPI	-	NPPES
119254555	Other	SC	CONTRACTOR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	119254555 (South Carolina)	Primary

Reviews and Comments

Clinic/Center in Columbia, SC

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Barton Creek Ct, Columbia, SC 29229 Phone: 803-256-2286 Fax: 803-419-8430
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1320 Main St Ste 300, Columbia, SC 29201 Phone: 657-400-5180
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
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Farrow Rd, Suite 230, Columbia, SC 29203 Phone: 803-799-1284 Fax: 803-799-8148
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
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Medical Park Suite 205, Palmetto Health Richland Diabetes Education, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-3040

- Primary Care in Columbia, SC