Palmetto Kidney And Hypertension Associates Llc | |
2601 Laurel St Ste 230 Columbia SC 29204-2034 | |
(803) 722-4001 | |
(803) 205-4008 |
Full Name | Palmetto Kidney And Hypertension Associates Llc |
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Speciality | Internal Medicine |
Location | 2601 Laurel St Ste 230, Columbia, South Carolina |
Authorized Official Name and Position | Stephen Osaguona (SOLE MEMBER) |
Authorized Official Contact | 8037224001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Palmetto Kidney And Hypertension Associates Llc 2601 Laurel St Ste 230 Columbia SC 29204-2034 Ph: (803) 722-4001 | Palmetto Kidney And Hypertension Associates Llc 2601 Laurel St Ste 230 Columbia SC 29204-2034 Ph: (803) 722-4001 |
NPI Number | 1194308882 |
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Provider Enumeration Date | 04/30/2021 |
Last Update Date | 04/30/2021 |
Medicare PECOS PAC ID | 2365842754 |
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Medicare Enrollment ID | O20210607000558 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194308882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
Provider Name | Stephen E Osaguona |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1346387388 PECOS PAC ID: 6507937224 Enrollment ID: I20080624000043 |
Provider Name | Karrera Tindal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538779178 PECOS PAC ID: 7214354778 Enrollment ID: I20200828000786 |
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 | |
Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |
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 |