The Practice
The Practice is a Family Medicine Physician in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2018.
- Licensed in
- SC
- In the registry since
- 2018
Practice location Address checks out
1910 Gregg StColumbia, SC 29201
Phone: (803) 779-5959
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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 31618 (SC) |
|---|
Record details
| NPI number | 1558852855 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Mattei — President / Owner · (803) 779-5959 |
| NPI enumerated | May 22, 2018 |
| Last updated in NPPES | December 4, 2023 |
| Certification date | December 4, 2023 |
| Mailing address | 1910 Gregg Street, Columbia, SC 29201 |
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