COLUMBIA ASC NORTHWEST LLC
Ambulatory Health at Parkridge Dr, Columbia, SC

License number
South Carolina ASF-076
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MR. PHILLIP CLENDENIN
Title: PRESIDENT
Phone: (615) 665-1283
Address
Address 2
190 Parkridge Dr SUITE 100, Columbia, SC 29212
1A Burton Hills Blvd Attn: L&C, Nashville, TN 37215
National Provider ID: 1063486504
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COLUMBIA ASC NORTHWEST LLC at bizstanding.com

COLUMBIA ASC NORTHWEST, LLC THE

2 Office Park Ct, Columbia, SC 29223

Registration:
Sep 6, 2001
Business type:
Foreign
Formation place:
TENNESSEE
Agent:
National Registered Agents Inc

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