Cfp Forest Acres 101 | |
4700 Forest Dr Suite 101 Columbia SC 29206 | |
(803) 256-1511 | |
(803) 256-7333 |
Full Name | Cfp Forest Acres 101 |
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Speciality | Family Medicine |
Location | 4700 Forest Dr, Columbia, South Carolina |
Authorized Official Name and Position | David Glenn Whaley (PARTNER) |
Authorized Official Contact | 8037735227 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cfp Forest Acres 101 325 Broad St Ste 100 Sumter SC 29150-4167 Ph: (803) 773-5227 | Cfp Forest Acres 101 4700 Forest Dr Suite 101 Columbia SC 29206 Ph: (803) 256-1511 |
NPI Number | 1770908261 |
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Provider Enumeration Date | 02/20/2014 |
Last Update Date | 10/02/2019 |
Medicare PECOS PAC ID | 9931017118 |
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Medicare Enrollment ID | O20191008000343 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770908261 | NPI | - | NPPES |
GP 3564 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (South Carolina) | Primary |
363A00000X | Physician Assistant | (South Carolina) | Secondary |
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