Concierge Medical Group Llc | |
140 Wildewood Park Dr Ste 107 Columbia SC 29223-4312 | |
(803) 722-4988 | |
(803) 656-8135 |
Full Name | Concierge Medical Group Llc |
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Speciality | Internal Medicine |
Location | 140 Wildewood Park Dr Ste 107, Columbia, South Carolina |
Authorized Official Name and Position | Sarah Doctor-greenwade (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8037224988 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Concierge Medical Group Llc Po Box 23328 Columbia SC 29224-3328 Ph: (803) 722-4988 | Concierge Medical Group Llc 140 Wildewood Park Dr Ste 107 Columbia SC 29223-4312 Ph: (803) 722-4988 |
NPI Number | 1811407521 |
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Provider Enumeration Date | 10/08/2017 |
Last Update Date | 07/22/2023 |
Medicare PECOS PAC ID | 8921367848 |
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Medicare Enrollment ID | O20180122001365 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811407521 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Oliver Pierre Harden |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164479747 PECOS PAC ID: 7517991789 Enrollment ID: I20050927000368 |
Provider Name | Erin L Farr |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013372390 PECOS PAC ID: 8921303488 Enrollment ID: I20160219002113 |
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