National Provider Identifier Database

SPRING VALLEY FAMILY PRACTIC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

SPRING VALLEY FAMILY PRACTIC
229 LONGTOWN RD
COLUMBIA, SC29229-8550
Phone: 803-419-4949
Fax: 803-419-6445
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for SPRING VALLEY FAMILY PRACTIC

NPI Number 1205889789
Legal business name
LBN
SPRING VALLEY FAMILY PRACTIC
Authorized official RUTKUMAR JANI - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/18/2006
Last updated 04/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 15409
  • SC Medicaid: 131100
  • SC Medicaid: 154095
  • SC Medicaid: T64212

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for SPRING VALLEY FAMILY PRACTIC

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