Palmetto Primary Care Physicians, Llc | |
3710 Landmark Dr Ste 408 Columbia SC 29204-4034 | |
(803) 219-4686 | |
(803) 973-6626 |
Full Name | Palmetto Primary Care Physicians, Llc |
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Speciality | Internal Medicine |
Location | 3710 Landmark Dr Ste 408, Columbia, South Carolina |
Authorized Official Name and Position | Terry Cunningham (CEO) |
Authorized Official Contact | 8436956071 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Palmetto Primary Care Physicians, Llc Po Box 530062 Atlanta GA 30353-0062 Ph: (843) 695-6071 | Palmetto Primary Care Physicians, Llc 3710 Landmark Dr Ste 408 Columbia SC 29204-4034 Ph: (803) 219-4686 |
NPI Number | 1437712445 |
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Provider Enumeration Date | 04/16/2019 |
Last Update Date | 09/08/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437712445 | NPI | - | NPPES |
GP9014 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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