Northlake Family Practice
NPI #1336684851 in Columbia, South Carolina
Provider Information
- NPI Number
- 1336684851
- Entity Type
- Organization
- Organization Name
- Northlake Family Practice
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Dec 20, 2016
- Last Updated
- Dec 20, 2016
Practice Location
- Address
- 115 BLARNEY DR
- Address 2
- SUITE 101 C
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29223-6291
- Phone
- (803) 419-5131
Authorized Official
- Name
- DR. ROBERT RAMOS, MD
- Title
- PRESIDENT / OWNER
- Phone
- (803) 622-3559
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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