| Three Rivers Medical Associates | |
|
1301 Taylor St Suite 8-a Columbia SC 29201-2942 | |
| (803) 779-1922 | |
| (803) 779-6729 |
| Full Name | Three Rivers Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 1301 Taylor St, Columbia, South Carolina |
| Authorized Official Name and Position | Darrell C Coven (DIRECTOR, AMBULATORY SVCS-FINANCE) |
| Authorized Official Contact | 8032967301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Rivers Medical Associates Po Box 402145 Atlanta GA 30384-2145 Ph: (803) 296-7305 | Three Rivers Medical Associates 1301 Taylor St Suite 8-a Columbia SC 29201-2942 Ph: (803) 779-1922 |
| NPI Number | 1164740189 |
|---|---|
| Provider Enumeration Date | 05/14/2010 |
| Last Update Date | 12/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164740189 | NPI | - | NPPES |
| GP5557 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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