Columbia Family Practice

LBN: Melton R Stuckey
Columbia Family Practice is an health care organization with primary practice located at 1333 Taylor St Suite 5-E, Columbia SC 29201-2923. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Melton R Stuckey can be contacted via phone (803) 256-1518, or through Stuckey, Melton R via phone (803) 254-2222.

Contact Information

Primary practice address
1333 Taylor St Suite 5-E Columbia SC 29201-2923
Phone: (803) 256-1518
Fax: (803) 256-9719
Website:
Map and Directions
Authorized official contact:
Name: Stuckey, Melton R Doctor of Medicine (MD)
Phone: (803) 254-2222

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1336184837
LBN Legal business name Melton R Stuckey
DBA Doing business as Columbia Family Practice
Authorized official Stuckey, Melton R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Jan 20th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336184837 NPPES
South Carolina MEDICAID GP0186

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