Columbia Medical Group

LBN: Columbia Medical Group
Columbia Medical Group is an health care organization with primary practice located at 4540 Trenholm Rd , Columbia SC 29206-4462. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Columbia Medical Group can be contacted via phone (803) 790-4700, or through Gavin, David William via phone (803) 790-4700.

Contact Information

Primary practice address
4540 Trenholm Rd Columbia SC 29206-4462
Phone: (803) 790-4700
Fax: (803) 790-6130
Website:
Map and Directions
Authorized official contact:
Name: Gavin, David William
Phone: (803) 790-4700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 14628 South Carolina

Profile Details

NPI number 1174506497
LBN Legal business name Columbia Medical Group
DBA Doing business as
Authorized official Gavin, David William
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2005
Last updated Oct 16th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174506497 NPPES
South Carolina MEDICAID GP2807

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