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Organization

FOREST DRIVE PHYSICIANS

Active
Other names
Doctors Express Columbia
Organization subpart
No

Provider details

NPI number
Authorized official
LORI LORD (LEAD PHYSICIAN)
(803) 386-6374
Entity
Organization

Contact information

Practice address
3304 FOREST DR, COLUMBIA, SC 29204-4024
(803) 386-6374
Mailing address
PO BOX 290192, COLUMBIA, SC 29229-0004

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
257420
SC
Enumeration date
10/19/2010
Last updated
10/19/2010
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