Columbia Medical Group
NPI #1174506497 in Columbia, South Carolina
Provider Information
- NPI Number
- 1174506497
- Entity Type
- Organization
- Organization Name
- Columbia Medical Group
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Nov 21, 2005
- Last Updated
- Oct 16, 2007
Practice Location
- Address
- 4540 TRENHOLM RD
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29206-4462
- Phone
- (803) 790-4700
Authorized Official
- Name
- MR. DAVID WILLIAM GAVIN
- Title
- OFFICE MANAGER
- Phone
- (803) 790-4700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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