The Practice | |
1910 Gregg Street Columbia SC 29201 | |
(803) 779-5959 | |
Not Available |
Full Name | The Practice |
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Speciality | Family Medicine |
Location | 1910 Gregg Street, Columbia, South Carolina |
Authorized Official Name and Position | John F Mattei (PRESIDENT / OWNER) |
Authorized Official Contact | 8037795959 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Practice 1910 Gregg Street Columbia SC 29201 Ph: (803) 779-5959 | The Practice 1910 Gregg Street Columbia SC 29201 Ph: (803) 779-5959 |
NPI Number | 1558852855 |
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Provider Enumeration Date | 05/22/2018 |
Last Update Date | 12/04/2023 |
Medicare PECOS PAC ID | 3678821063 |
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Medicare Enrollment ID | O20180801001215 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558852855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 31618 (South Carolina) | Primary |
Provider Name | William H Crigler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043264765 PECOS PAC ID: 9931008117 Enrollment ID: I20040107000345 |
Provider Name | David C Morris |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952490864 PECOS PAC ID: 1052331444 Enrollment ID: I20051130000499 |
Provider Name | John F Mattei |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316959687 PECOS PAC ID: 1355481730 Enrollment ID: I20091215000573 |
Provider Name | Icie Hutcheson Mullis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114545647 PECOS PAC ID: 7214341858 Enrollment ID: I20210122000909 |
Provider Name | Veronica L Stukes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457995375 PECOS PAC ID: 2365831559 Enrollment ID: I20211109001969 |
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 | |