| NPI | 1336184837 |
|---|---|
| Doing Business As | COLUMBIA FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MELTON R STUCKEY Owner 803-254-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2010-01-20 |