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Specialty details in registry · Columbia, SC
At a glance
105 Londonberry Cir, Columbia, SC 29210-6058
NPPES record updated Nov 10, 2018. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
105 Londonberry CirColumbia, SC 29210-6058
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 103K00000X
- Enumeration date
- Nov 10, 2018
- Record updated
- Nov 10, 2018
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
103K00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
105 Londonberry CirColumbia, SC 29210-6058
- Phone
- (925) 236-0494
Mailing address
105 LONDONBERRY CIRCOLUMBIA, SC 292106058
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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