| Concierge Medical Group Llc | |
|
110 Wildewood Park Dr Ste A Columbia SC 29223-4301 | |
| (803) 722-4988 | |
| (803) 656-8135 |
| Full Name | Concierge Medical Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 110 Wildewood Park Dr Ste A, Columbia, South Carolina |
| Authorized Official Name and Position | Sarah Doctor-greenwade (CEO) |
| Authorized Official Contact | 8037224988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concierge Medical Group Llc Po Box 23328 Columbia SC 29224-3328 Ph: (803) 722-4988 | Concierge Medical Group Llc 110 Wildewood Park Dr Ste A Columbia SC 29223-4301 Ph: (803) 722-4988 |
| NPI Number | 1811407521 |
|---|---|
| Provider Enumeration Date | 10/08/2017 |
| Last Update Date | 05/30/2024 |
| Medicare PECOS PAC ID | 8921367848 |
|---|---|
| Medicare Enrollment ID | O20180122001365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811407521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Oliver Pierre Harden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164479747 PECOS PAC ID: 7517991789 Enrollment ID: I20050927000368 |
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