Bull St. District Family Practice LLC
NPI #1265232326 in Columbia, South Carolina
Provider Information
- NPI Number
- 1265232326
- Entity Type
- Organization
- Organization Name
- Bull St. District Family Practice LLC
- Primary Specialty
- Family Medicine - Adult Medicine
- Enumeration Date
- Mar 18, 2025
- Last Updated
- Mar 18, 2025
Practice Location
- Address
- 1417 GREGG ST
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29201-3527
- Phone
- (803) 915-0469
Authorized Official
- Name
- DR. CORNELL MAURICE CLARK, M.D.
- Title
- MANAGING DIRECTOR
- Phone
- (702) 904-4077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Adult Medicine — Adult Medicine |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| Rachelle Shepard, APRN, AGNP |  AI Deep Dive |
| MR. Robert Bruce Borucki, MD | AI Deep Dive |
| DR. Deepti Parmar, M.D. | AI Deep Dive |
| DR. Karen Craig Walpole, M.D. | AI Deep Dive |
Organizations
| Provider Name | |
|---|---|
| Annarosan P Joy MD | AI Deep Dive |
Want to research this healthcare provider further?