Bull St District Family Practice LLC
Bull St District Family Practice LLC is an Adult Medicine Physician in Columbia, South Carolina. Registered with an NPI since 2025.
- In the registry since
- 2025
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1417 Gregg StColumbia, SC 29201-3527
Phone: (803) 915-0469
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X |
|---|
Record details
| NPI number | 1265232326 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cornell Clark — Managing Director · (702) 904-4077 |
| Other names | Bull St District Family Practice; Cornell M. Clark, M.D. |
| NPI enumerated | March 18, 2025 |
| Last updated in NPPES | March 18, 2025 |
| Certification date | March 18, 2025 |
| Mailing address | Po Box 99, Columbia, SC 29202-0099 |
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