| Parkridge Ob/gyn | |
|
100 Palmetto Health Pkwy Suite 250b Columbia SC 29212-1753 | |
| (803) 407-3734 | |
| (803) 407-3133 |
| Full Name | Parkridge Ob/gyn |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Palmetto Health Pkwy, Columbia, South Carolina |
| Authorized Official Name and Position | Darrell Coven (DIRECTOR, AMBULATORY SERVICES-FIN) |
| Authorized Official Contact | 8032967301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkridge Ob/gyn Po Box 402145 Atlanta GA 30384-2145 Ph: (803) 296-7305 | Parkridge Ob/gyn 100 Palmetto Health Pkwy Suite 250b Columbia SC 29212-1753 Ph: (803) 407-3734 |
| NPI Number | 1649511320 |
|---|---|
| Provider Enumeration Date | 03/06/2013 |
| Last Update Date | 06/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649511320 | NPI | - | NPPES |
| GP6159 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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