| Lake Murray Family Medicine | |
|
7611 Saint Andrews Rd Irmo SC 29063-2834 | |
| (803) 724-1100 | |
| (803) 724-1101 |
| Full Name | Lake Murray Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7611 Saint Andrews Rd, Irmo, South Carolina |
| Authorized Official Name and Position | Emily J Williams (SENIOR PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8037791420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Murray Family Medicine 1910 Gregg St Columbia SC 29201-2618 Ph: (803) 779-1420 | Lake Murray Family Medicine 7611 Saint Andrews Rd Irmo SC 29063-2834 Ph: (803) 724-1100 |
| NPI Number | 1538467808 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 12/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538467808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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