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Organization

TLM MEDICAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CONIGLIARO JONES M.D. (PHYSICIAN/PRESIDENT)
(803) 376-8875
Entity
Organization

Contact information

Practice address
1707 BERNARDIN AVE, SUITE C, COLUMBIA, SC 29204-2004
(803) 376-8875
(803) 376-8004
Mailing address
PO BOX 1317, COLUMBIA, SC 29202-1317
(803) 376-8875
(803) 376-8004

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
22363
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
223635
SC
01
GP5036
MEDICAID GROUP #
SC
Enumeration date
10/16/2008
Last updated
02/25/2009
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