Organization
MEDICAL ADVANTAGE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RODRIGUES MD (DIRECTOR)
(877) 404-1271
Entity
Organization
Contact information
Practice address
1812 LINCOLN ST STE 100, COLUMBIA, SC 29201-2383
(877) 404-1271
Mailing address
1812 LINCOLN ST STE 100, COLUMBIA, SC 29201-2383
(877) 404-1271
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
Other
Enumeration date
08/16/2025
Last updated
08/16/2025
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