COLUMBIA NEPHROLOGY ASSOCIATES PA NPI 1407821721

NPI Information

COLUMBIA NEPHROLOGY ASSOCIATES PA is a specialist in Columbia, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. COLUMBIA NEPHROLOGY ASSOCIATES PA NPI is 1407821721. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

121 PARK CENTRAL DR
200
COLUMBIA, SC
ZIP 29203-469
Phone: (803) 252-9907
Fax: (803) 252-9906

The provider's authorized official is Carl B Shealy .
The authorized official title is President and has the following contact phone number (803) 252-9907.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 12/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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