| Lexington Internists - Northeast | |
|
21 Gateway Corners Park Ste 101 Columbia SC 29203-8906 | |
| (803) 865-2122 | |
| Not Available |
| Full Name | Lexington Internists - Northeast |
|---|---|
| Speciality | Internal Medicine |
| Location | 21 Gateway Corners Park Ste 101, Columbia, South Carolina |
| Authorized Official Name and Position | Carole Cherny (SENIOR CREDENTIALING ANALYST) |
| Authorized Official Contact | 8039367679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lexington Internists - Northeast Po Box 896239 Charlotte NC 28289-6239 Ph: (803) 865-2122 | Lexington Internists - Northeast 21 Gateway Corners Park Ste 101 Columbia SC 29203-8906 Ph: (803) 865-2122 |
| NPI Number | 1407336076 |
|---|---|
| Provider Enumeration Date | 08/14/2018 |
| Last Update Date | 08/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407336076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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