Organization
LONGCREEK FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE SCHAEFER (OWNER)
(803) 462-6733
Entity
Organization
Contact information
Practice address
1606 HORSESHOE DR, COLUMBIA, SC 29223-6202
(803) 462-6733
Mailing address
1606 HORSESHOE DR, COLUMBIA, SC 29223-6202
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3355
—
SC
Enumeration date
02/08/2007
Last updated
09/09/2008
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