Families First Always
Specialty details in registry · Columbia, SC
At a glance
1717 Gervais St # 104, Columbia, SC 29201-3415
NPPES record updated Aug 7, 2019. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
1717 Gervais St # 104Columbia, SC 29201-3415
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251B00000X
- Enumeration date
- Aug 7, 2019
- Record updated
- Aug 7, 2019
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
251B00000X · Primary
Specialty details in registry
251K00000X
Specialty details in registry
251S00000X
Specialty details in registry
252Y00000X
Specialty details in registry
261QC1500X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1717 Gervais St # 104Columbia, SC 29201-3415
- Phone
- (803) 904-5488
Mailing address
873 NEAR CREEK DRBLYTHEWOOD, SC 290166905
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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