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NORTHLAKE FAMILY PRACTICE

Exclusive Provider Organization

NPI: 1336684851Organization

Specialties, Licenses & Credentials

Exclusive Provider Organization

Code: 302F00000X

19001(SC)

Contact & Hours

Address
115 BLARNEY DR, SUITE 101 C
COLUMBIA, SC 29223

Quick Facts

NPI
1336684851
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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