| Department Of Internal Medicine | |
|
2 Medical Park Rd Suite 502 Columbia SC 29203-6808 | |
| (803) 540-1000 | |
| (803) 540-1075 |
| Full Name | Department Of Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Medical Park Rd, Columbia, South Carolina |
| Authorized Official Name and Position | William D. Anderson (CMO) |
| Authorized Official Contact | 8035401000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Department Of Internal Medicine 15 Medical Park Suite 300 Columbia SC 29203-6843 Ph: (803) 545-5022 | Department Of Internal Medicine 2 Medical Park Rd Suite 502 Columbia SC 29203-6808 Ph: (803) 540-1000 |
| NPI Number | 1144258922 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 12/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144258922 | NPI | - | NPPES |
| PC0227 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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