DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COLONIAL FAMILY PRACTICE & AMBULATORY CARE CENTER

Active Organization

Family Medicine · COLUMBIA, SC

Registration Details

NPI Number
1902229214
Provider Type
Organization
NPI Issued
Jan 23, 2014 (12.251571672847 yrs)
Last Updated
Mar 22, 2021
Licenses
28747 (SC)
17676 (SC)
07-6916 GLENN GOUDY (SC)

Practice Information

Address
4700 FOREST DR
COLUMBIA, SC, 29206
Browse SC providers · Browse ZIP 29206
Phone
8037735227
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Endoscopy Lab
Additional Specialty
Health Service Clinic
Additional Specialty
Physician Assistant

Other Family Medicine Organizations in COLUMBIA, SC

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.