The Medical Place Family Practice, P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

24923 Issued in SC

Legal business name

THE MEDICAL PLACE FAMILY PRACTICE, P.A.

Practice address

3020 Sunset Blvd
Suite 101
West Columbia, SC 29169-3493

Phone

(803) 791-5680

NPI assigned

Oct 6, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tasha Matthews Boone, M.D.

Title

President

Phone

(803) 358-9843

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1760633960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CHERRY GROVE DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291703070",
            "telephone_number": "803-358-9843",
            "fax_number": "803-358-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 SUNSET BLVD",
            "address_2": "SUITE 101",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693493",
            "telephone_number": "803-791-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL PLACE FAMILY PRACTICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "MATTHEWS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-358-9843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "24923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Primary Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.