Forest Drive Physicians

NPI 1740590157 - Clinic/Center - 261QU0200X

NPI Details
NPI 1740590157
Enumeration Date 10/19/2010
Last Updated 10/19/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name LORI LORI
Position LEAD PHYSICIAN
Phone (803) 386-6374
Fax
Practice Location
3304 FOREST DR
COLUMBIA SC, 29204-4024, US
Phone (803) 386-6374
Fax
Business Location
PO BOX 290192
COLUMBIA SC, 29229-0004, US
Phone
Fax
Toxanomy
Taxonomy Code 261QU0200X
License State
License Number
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According to our database, Forest Drive Physicians NPI is 1740590157, taxonomy code is 261QU0200X Forest Drive Physicians physically located at 3304 Forest Dr, Columbia SC, 29204-4024. NPI Number 1033115704 has the healthcare provider type.

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1740590157 NPI number is provided on an as is basis without warranty of any kind. 1740590157 is maintained by the National Plan & Provider Enumeration System. The contents of Forest Drive Physicians are for informational purposes only.