| Spring Valley Family Practice | |
|
21 Gateway Corners Park Ste 101 Columbia SC 29203-8906 | |
| (803) 419-4949 | |
| (803) 419-6445 |
| Full Name | Spring Valley Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 21 Gateway Corners Park Ste 101, Columbia, South Carolina |
| Authorized Official Name and Position | Jeffrey Brillhart (SENIOR VP/CFO) |
| Authorized Official Contact | 8037912967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Valley Family Practice Po Box 6069 West Columbia SC 29171-6069 | Spring Valley Family Practice 21 Gateway Corners Park Ste 101 Columbia SC 29203-8906 Ph: (803) 419-4949 |
| NPI Number | 1821696949 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 01/06/2025 |
| Certification Date | 01/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821696949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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