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NPI Code Detail

MEDICARE: FAMILY MEDICINE CENTERS OF SOUTH CAROLINA

MEDICARE: FAMILY MEDICINE CENTERS OF SOUTH CAROLINA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1538467808
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY MEDICINE CENTERS OF SOUTH CAROLINA
Provider Business Mailing Address
First Line : 1910 GREGG ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2618
Country : US
Telephone Number : 803-779-1420
Fax Number : 803-931-0676
Provider Business Practice Location Address
First Line : 7611 SAINT ANDREWS RD
Second Line :
City : IRMO
State : SC
Zip : 29063-2834
Country : US
Telephone Number : 803-724-1100
Fax Number : 803-724-1101
Authorized Official
Title or Position : SENIOR PRACTICE ADMINISTRATOR
Name : MS. EMILY J WILLIAMS
Credential :
Telephone Number : 803-779-1420
Provider Enumeration Date : 03/10/2011
Last Update Date : 12/14/2012

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Directions to “FAMILY MEDICINE CENTERS OF SOUTH CAROLINA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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