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THE MEDICAL PLACE FAMILY PRACTICE P.A. NPI 1760633960


NPI Information

NPI: 1760633960
Provider Name: THE MEDICAL PLACE FAMILY PRACTICE, P.A.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
3020 SUNSET BLVD
SUITE 101
WEST COLUMBIA, SC
ZIP 29169
Phone: (803) 791-5680
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THE MEDICAL PLACE FAMILY PRACTICE, P.A. is a primary care clinic center in West Columbia, SC. THE MEDICAL PLACE FAMILY PRACTICE, P.A. NPI is 1760633960. The provider is registered as an organization entity type.

The provider's business location address is:

3020 SUNSET BLVD
SUITE 101
WEST COLUMBIA, SC
ZIP 29169-493
Phone: (803) 791-5680

The provider's authorized official is Tasha Matthews Boone .
The authorized official title is President and has the following contact phone number (803) 358-9843.

The enumeration date for this NPI number is 10/6/2008 and was last updated on 10/6/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care24923SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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