NORTHLAKE FAMILY MEDICAL PRACTICE

COLUMBIA, SC
NPI1003928680
Entity TypeOrganization
Authorized ContactREGINALD L PARKER
Owner
803-419-5131
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  14862)
Enumeration Date2006-08-31
Last Update Date2007-10-16
Business Address
NORTHLAKE FAMILY MEDICAL PRACTICE
3000 NE MEDICAL PARK STE 101
COLUMBIA, SC 29223-6251
Phone number: 803-419-5131
Mailing Address
NORTHLAKE FAMILY MEDICAL PRACTICE
3000 NE MEDICAL PARK STE 101
COLUMBIA, SC 29223-6251
Phone number: 803-419-5131
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