Northlake Family Practice
Northlake Family Practice is an Exclusive Provider Organization in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2016.
- Licensed in
- SC
- In the registry since
- 2016
Practice location Address checks out
115 Blarney Dr Ste 101 CColumbia, SC 29223-6291
Phone: (803) 419-5131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 19001 (SC) |
|---|
Record details
| NPI number | 1336684851 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Ramos — President / Owner · (803) 622-3559 |
| NPI enumerated | December 20, 2016 |
| Last updated in NPPES | December 20, 2016 |
| Mailing address | 115 Blarney Dr, Suite 101 C, Columbia, SC 29223-6291 |
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