| Columbia Gastroenterology Associates Pa | |
|
2739 Laurel St Suite 1-a Columbia SC 29204-2028 | |
| (803) 799-3737 | |
| (803) 256-0395 |
| Full Name | Columbia Gastroenterology Associates Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2739 Laurel St, Columbia, South Carolina |
| Authorized Official Name and Position | Margot Carroll (ADMIN COORDINATOR) |
| Authorized Official Contact | 8037994800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Gastroenterology Associates Pa 2739 Laurel St Ste 1a Columbia SC 29204-2028 Ph: (803) 799-4800 | Columbia Gastroenterology Associates Pa 2739 Laurel St Suite 1-a Columbia SC 29204-2028 Ph: (803) 799-3737 |
| NPI Number | 1922080266 |
|---|---|
| Provider Enumeration Date | 11/14/2005 |
| Last Update Date | 02/21/2023 |
| Medicare PECOS PAC ID | 9234035759 |
|---|---|
| Medicare Enrollment ID | O20040526001352 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922080266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | James M Mann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275582405 PECOS PAC ID: 6800849100 Enrollment ID: I20050228000122 |
| Provider Name | Shixiong Liao |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285698829 PECOS PAC ID: 2961590286 Enrollment ID: I20071120000014 |
| Provider Name | Jorge Galan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598746612 PECOS PAC ID: 9830095371 Enrollment ID: I20080207000429 |
| Provider Name | Paula A Anderson |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1568431674 PECOS PAC ID: 0446344915 Enrollment ID: I20080721000086 |
| Provider Name | Walter J Bristow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407847023 PECOS PAC ID: 7214833748 Enrollment ID: I20100211000140 |
| Provider Name | George Postic |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447231469 PECOS PAC ID: 1658415799 Enrollment ID: I20100212000544 |
| Provider Name | Samuel Willis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770586588 PECOS PAC ID: 4385540822 Enrollment ID: I20100212000573 |
| Provider Name | Edward Kimbrough |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699756619 PECOS PAC ID: 1153465299 Enrollment ID: I20100212000585 |
| Provider Name | Anthony D Lowman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083617880 PECOS PAC ID: 3678479110 Enrollment ID: I20100624000237 |
| Provider Name | Katie W Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841662483 PECOS PAC ID: 7719286038 Enrollment ID: I20160509000073 |
| Provider Name | Faith L Villanueva |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376075275 PECOS PAC ID: 4486926409 Enrollment ID: I20230809001182 |
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