| Centerwell Senior Primary Care (SC) JV PC - Forest | |
|
2571 Forest Dr Columbia SC 29204-2029 | |
| (803) 888-5425 | |
| Not Available |
| Full Name | Centerwell Senior Primary Care (SC) JV PC - Forest |
|---|---|
| Speciality | Internal Medicine |
| Location | 2571 Forest Dr, Columbia, South Carolina |
| Authorized Official Name and Position | Megan Galvan (CREDENTIALING MANAGER) |
| Authorized Official Contact | 3055002000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care (SC) JV PC - Forest 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 | Centerwell Senior Primary Care (SC) JV PC - Forest 2571 Forest Dr Columbia SC 29204-2029 Ph: (803) 888-5425 |
| NPI Number | 1558181073 |
|---|---|
| Provider Enumeration Date | 10/10/2024 |
| Last Update Date | 10/10/2024 |
| Certification Date | 10/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558181073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 208D00000X | General Practice | () | Secondary |
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