Tlm Medical Services, Llc | |
1707 Bernardin Ave Suite C Columbia SC 29204-2004 | |
(803) 376-8875 | |
(803) 376-8004 |
Full Name | Tlm Medical Services, Llc |
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Speciality | Clinic/Center |
Location | 1707 Bernardin Ave, Columbia, South Carolina |
Authorized Official Name and Position | Conigliaro Jones (PHYSICIAN/PRESIDENT) |
Authorized Official Contact | 8033768875 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tlm Medical Services, Llc Po Box 1317 Columbia SC 29202-1317 Ph: (803) 376-8875 | Tlm Medical Services, Llc 1707 Bernardin Ave Suite C Columbia SC 29204-2004 Ph: (803) 376-8875 |
NPI Number | 1821240300 |
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Provider Enumeration Date | 10/16/2008 |
Last Update Date | 02/25/2009 |
Medicare PECOS PAC ID | 5092870097 |
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Medicare Enrollment ID | O20090206000336 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821240300 | NPI | - | NPPES |
GP5036 | Other | SC | MEDICAID GROUP # |
223635 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 22363 (South Carolina) | Primary |
Provider Name | Conigliaro Jones |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811967458 PECOS PAC ID: 4789672528 Enrollment ID: I20040503000345 |
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 | |