Providence Northeast Family Care At Lake Carolina | |
300 Long Pointe Ln Suite 130 Columbia SC 29229-7543 | |
(803) 462-7193 | |
(803) 462-7163 |
Full Name | Providence Northeast Family Care At Lake Carolina |
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Speciality | Family Medicine |
Location | 300 Long Pointe Ln, Columbia, South Carolina |
Authorized Official Name and Position | Jeremy W Whitaker (MANAGER) |
Authorized Official Contact | 8038654798 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Providence Northeast Family Care At Lake Carolina Po Box 60496 Charlotte NC 28260-0496 Ph: (803) 462-7193 | Providence Northeast Family Care At Lake Carolina 300 Long Pointe Ln Suite 130 Columbia SC 29229-7543 Ph: (803) 462-7193 |
NPI Number | 1750401451 |
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Provider Enumeration Date | 03/29/2007 |
Last Update Date | 03/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750401451 | NPI | - | NPPES |
GP4545 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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