| Harbison Family Practice | |
|
190 Parkridge Dr Suite 250 Columbia SC 29212-1747 | |
| (803) 296-7304 | |
| (803) 296-7329 |
| Full Name | Harbison Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 190 Parkridge Dr, Columbia, South Carolina |
| Authorized Official Name and Position | Darrell C Coven (DIRECTOR, AMBULATORY SVCS - FINANCE) |
| Authorized Official Contact | 8032967301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harbison Family Practice Po Box 402145 Atlanta GA 30384-2145 Ph: (803) 296-7305 | Harbison Family Practice 190 Parkridge Dr Suite 250 Columbia SC 29212-1747 Ph: (803) 296-7304 |
| NPI Number | 1962447466 |
|---|---|
| Provider Enumeration Date | 06/18/2006 |
| Last Update Date | 01/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962447466 | NPI | - | NPPES |
| GP3997 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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