| Prisma Health Senior Primary Care | |
|
3010 Farrow Rd Ste 300 Columbia SC 29203-7606 | |
| (803) 434-1210 | |
| (803) 434-1212 |
| Full Name | Prisma Health Senior Primary Care |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 3010 Farrow Rd Ste 300, Columbia, South Carolina |
| Authorized Official Name and Position | Polly H Miller (VP-FIN ENTERPRISER PAYOR CONTRACTIN) |
| Authorized Official Contact | 8645222286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prisma Health Senior Primary Care 3010 Farrow Rd Suite 300 Columbia SC 29203-7607 Ph: (803) 434-1210 | Prisma Health Senior Primary Care 3010 Farrow Rd Ste 300 Columbia SC 29203-7606 Ph: (803) 434-1210 |
| NPI Number | 1962471946 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 06/23/2025 |
| Certification Date | 06/23/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962471946 | NPI | - | NPPES |
| GP1537 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (South Carolina) | Primary |
| 282NC0060X | General Acute Care Hospital - Critical Access | (South Carolina) | Secondary |
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