Springdale Family Practice
Clinic/Center, Primary Care in West Columbia, SC. Organization (NPI-2).
NPI number1912065327
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1912065327
- Entity type
- Organization (NPI-2)
- Legal business name
- Springdale Family Practice
- Organization subpart
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | sc9312 | SC | Yes |
Practice location
3316 Platt Springs RdWest Columbia, SC 29170-2247
Phone 803-796-1522 · Fax 803-794-7061
Mailing address
3316 Platt Springs RdWest Columbia, SC 29170-2247
Phone 803-796-1522 · Fax 803-794-7061
Authorized official
John Robert Dunn
President
8037961521
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