| Lagniappe Medical Clinics, Llc | |
|
74 Polo Rd Columbia SC 29223-2806 | |
| (803) 419-7780 | |
| (803) 419-7781 |
| Full Name | Lagniappe Medical Clinics, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 74 Polo Rd, Columbia, South Carolina |
| Authorized Official Name and Position | Annette Plante (CEO) |
| Authorized Official Contact | 8034197780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagniappe Medical Clinics, Llc 74 Polo Rd Columbia SC 29223-2806 Ph: (803) 419-7780 | Lagniappe Medical Clinics, Llc 74 Polo Rd Columbia SC 29223-2806 Ph: (803) 419-7780 |
| NPI Number | 1023564622 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 09/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023564622 | NPI | - | NPPES |
| PENDING | Other | SC | MEDICARE AND MEDICAID PENDING |
| GP7652 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20381 (South Carolina) | Primary |
Palmetto Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Barton Creek Ct, Columbia, SC 29229 Phone: 803-256-2286 Fax: 803-419-8430 | |
South Carolina Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1320 Main St Ste 300, Columbia, SC 29201 Phone: 657-400-5180 | |
Northlake Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Ne Medical Park, Ste 101, Columbia, SC 29223 Phone: 803-419-5131 Fax: 803-419-5130 | |
Carolina Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Farrow Rd, Suite 230, Columbia, SC 29203 Phone: 803-799-1284 Fax: 803-799-8148 | |
Five Points Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259 | |
Diabetes Educations Richland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Medical Park Suite 205, Palmetto Health Richland Diabetes Education, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-3040 |