| Tlm Medical Services, Llc | |
|
1707 Bernardin Ave Suite C Columbia SC 29204-2004 | |
| (803) 376-8875 | |
| (803) 376-8004 |
| Full Name | Tlm Medical Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1707 Bernardin Ave, Columbia, South Carolina |
| Authorized Official Name and Position | Conigliaro Jones (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 8033768875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlm Medical Services, Llc Po Box 1317 Columbia SC 29202-1317 Ph: (803) 376-8875 | Tlm Medical Services, Llc 1707 Bernardin Ave Suite C Columbia SC 29204-2004 Ph: (803) 376-8875 |
| NPI Number | 1821240300 |
|---|---|
| Provider Enumeration Date | 10/16/2008 |
| Last Update Date | 02/25/2009 |
| Medicare PECOS PAC ID | 5092870097 |
|---|---|
| Medicare Enrollment ID | O20090206000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821240300 | NPI | - | NPPES |
| GP5036 | Other | SC | MEDICAID GROUP # |
| 223635 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 22363 (South Carolina) | Primary |
| Provider Name | Conigliaro Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811967458 PECOS PAC ID: 4789672528 Enrollment ID: I20040503000345 |
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