Organization
FAMILY MEDICINE CENTERS OF SOUTH CAROLINA
Active
Parent organization
FAMILY MECICINE CENTERS OF SOUTH CAROLINA
Other names
SPRINGWOOD LAKE FAMILY PRACTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY MECICINE CENTERS OF SOUTH CAROLINA
Authorized official
DR. STEPHEN F SERBIN M.D. (CEO/MEDICAL DIRECTOR)
(803) 779-1420
Entity
Organization
Contact information
Practice address
1721 HORSESHOE DR, COLUMBIA, SC 29223-6281
(803) 779-1420
(803) 931-0676
Mailing address
1910 GREGG ST, COLUMBIA, SC 29201-2618
(803) 779-1420
(803) 931-0676
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3424
—
SC
Enumeration date
10/02/2006
Last updated
06/13/2013
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