| University Specialty Clinics - University Primary Care | |
|
Two Medical Park Suite 203 Columbia SC 29203-6839 | |
| (803) 212-7130 | |
| (803) 212-7160 |
| Full Name | University Specialty Clinics - University Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | Two Medical Park, Columbia, South Carolina |
| Authorized Official Name and Position | William D. Anderson (CMO) |
| Authorized Official Contact | 8032553400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Specialty Clinics - University Primary Care 15 Medical Park Suite 300 Columbia SC 29203-6843 Ph: (803) 545-5022 | University Specialty Clinics - University Primary Care Two Medical Park Suite 203 Columbia SC 29203-6839 Ph: (803) 212-7130 |
| NPI Number | 1578595856 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 12/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578595856 | NPI | - | NPPES |
| GP1252 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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