Organization
SPRINGDALE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT DUNN III M.D. (PRESIDENT)
(803) 796-1521
Entity
Organization
Contact information
Practice address
3316 PLATT SPRINGS RD, WEST COLUMBIA, SC 29170-2247
(803) 796-1522
(803) 794-7061
Mailing address
3316 PLATT SPRINGS RD, WEST COLUMBIA, SC 29170-2247
(803) 796-1522
(803) 794-7061
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
SC9312
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPO325
—
SC
Enumeration date
12/05/2006
Last updated
08/22/2020
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