Organization
SPRING VALLEY FAMILY PRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTKUMAR JANI (OWNER)
(803) 419-4949
Entity
Organization
Contact information
Practice address
229 LONGTOWN RD, COLUMBIA, SC 29229-8550
(803) 419-4949
(803) 419-6445
Mailing address
229 LONGTOWN RD, COLUMBIA, SC 29229-8550
(803) 419-4949
(803) 419-6445
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
15409
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131100
—
SC
05
—
154095
—
SC
05
—
T64212
—
SC
Enumeration date
05/18/2006
Last updated
04/20/2008
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