| Atrium Ridge Internal Medicine | |
|
11 Atrium Ridge Ct Columbia SC 29223-6438 | |
| (803) 699-9992 | |
| (803) 865-7429 |
| Full Name | Atrium Ridge Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 11 Atrium Ridge Ct, Columbia, South Carolina |
| Authorized Official Name and Position | Darrell C Coven (DIRECTOR, AMBULATORY SVCS - FINANCE) |
| Authorized Official Contact | 8032967301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atrium Ridge Internal Medicine Po Box 402145 Atlanta GA 30384-2145 Ph: (803) 296-7305 | Atrium Ridge Internal Medicine 11 Atrium Ridge Ct Columbia SC 29223-6438 Ph: (803) 699-9992 |
| NPI Number | 1932349081 |
|---|---|
| Provider Enumeration Date | 03/03/2009 |
| Last Update Date | 01/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932349081 | NPI | - | NPPES |
| CG5471 | Other | SC | MEDICARE RAILROAD GROUP PTAN |
| GP5113 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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