Traditions Health Of Columbia | |
7825 Broad River Rd Ste 100 Irmo SC 29063-2375 | |
(803) 509-8844 | |
(803) 509-8845 |
Full Name | Traditions Health Of Columbia |
---|---|
Speciality | Clinic/Center |
Location | 7825 Broad River Rd Ste 100, Irmo, South Carolina |
Authorized Official Name and Position | David R Klementz (PRESIDENT & CEO) |
Authorized Official Contact | 9797046547 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Traditions Health Of Columbia Po Box 9980 College Station TX 77842-7980 Ph: () - | Traditions Health Of Columbia 7825 Broad River Rd Ste 100 Irmo SC 29063-2375 Ph: (803) 509-8844 |
NPI Number | 1427794817 |
---|---|
Provider Enumeration Date | 05/09/2022 |
Last Update Date | 09/12/2023 |
Medicare PECOS PAC ID | 9436444619 |
---|---|
Medicare Enrollment ID | O20220629001781 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427794817 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Steven Barnett |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134175557 PECOS PAC ID: 2860395621 Enrollment ID: I20040129000307 |
Provider Name | Mary Legette Fredrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376084970 PECOS PAC ID: 8224384888 Enrollment ID: I20180712000407 |
Provider Name | Yolanda Boyd-gantt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851953574 PECOS PAC ID: 5395074009 Enrollment ID: I20190905001763 |
Provider Name | Natasha King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710632633 PECOS PAC ID: 3274918990 Enrollment ID: I20220916001120 |
Palmetto Health - University Of South Carolina Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1079 Dutch Fork Rd, Irmo, SC 29063 Phone: 803-749-8900 | |
Dutch Fork Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Dutchman Blvd., Irmo, SC 29063 Phone: 803-732-8370 Fax: 803-732-8373 | |
Vertical Treatment Centers Columbia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Oak Park Dr Ste C, Irmo, SC 29063 Phone: 864-991-8884 | |
Tms Columbia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Kinley Rd, Irmo, SC 29063 Phone: 803-407-7258 Fax: 803-407-7259 | |
Lexington Family Practice Ballentine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1846 Dutch Fork Road, Irmo, SC 29063 Phone: 803-781-5200 Fax: 803-781-3843 | |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7611 Saint Andrews Rd, Irmo, SC 29063 Phone: 803-714-3300 Fax: 803-626-9356 | |
Tlc Laser Eye Centers Columbia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 945 Lake Murray Blvd., Suite A., Irmo, SC 29063 Phone: 803-753-7730 |