NORTHLAKE FAMILY PRACTICE

Exclusive Provider Organization

Active Organization
NPI: 1336684851

Practice Address

115 BLARNEY DR
SUITE 101 C
Columbia, SC 29223

Phone: (803) 419-5131

Specialties

Specialty Code Primary License
Exclusive Provider Organization 302F00000X Yes 19001 (SC)

Frequently Asked Questions

NPI 1336684851 is the National Provider Identifier for NORTHLAKE FAMILY PRACTICE, a Exclusive Provider Organization provider located in Columbia, SC. This NPI was enumerated on December 20, 2016.

Quick Facts

NPI
1336684851
Type
Organization
Enumerated
Dec 20, 2016
Last Updated
Dec 20, 2016

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