Northlake Family Medical Practice
Northlake Family Medical Practice is a Family Medicine Physician in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.
- Licensed in
- SC
- In the registry since
- 2006
Practice location Address checks out
3000 NE Medical Park Ste 101Columbia, SC 29223-6251
Phone: (803) 419-5131
Fax: (803) 419-5130
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 14862 (SC) |
|---|
Record details
| NPI number | 1003928680 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Reginald Parker — Owner · (803) 419-5131 |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | October 16, 2007 |
| Mailing address | 3000 Ne Medical Park, Ste 101, Columbia, SC 29223-6251 |
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