Columbia Asc Northwest LLC
NPI #1063486504 in Columbia, South Carolina
Provider Information
- NPI Number
- 1063486504
- Entity Type
- Organization
- Organization Name
- Columbia Asc Northwest LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Feb 13, 2006
- Last Updated
- Sep 7, 2023
Practice Location
- Address
- 190 PARKRIDGE DR
- Address 2
- SUITE 100
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29212-1747
- Phone
- (803) 407-6767
Authorized Official
- Name
- MR. PHILLIP CLENDENIN
- Title
- PRESIDENT
- Phone
- (615) 665-1283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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