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SOUTH CAROLINA ONCOLOGY ASSOC PA NPI 1467406918


NPI Information

NPI: 1467406918
Provider Name: SOUTH CAROLINA ONCOLOGY ASSOC PA
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
166 STONERIDGE DR
SOUTH CAROLINA ONCOLOGY ASSOC
COLUMBIA, SC
ZIP 29210
Phone: (803) 461-3000
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SOUTH CAROLINA ONCOLOGY ASSOC PA is a hematology and oncology internal medicine in Columbia, SC. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. SOUTH CAROLINA ONCOLOGY ASSOC PA NPI is 1467406918. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

166 STONERIDGE DR
SOUTH CAROLINA ONCOLOGY ASSOC
COLUMBIA, SC
ZIP 29210
Phone: (803) 461-3000
Fax: (803) 461-4917

The provider's authorized official is Fred J Kudrik .
The authorized official title is President and has the following contact phone number (803) 461-3000.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 6/30/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VX0201XObstetrics & GynecologyGynecologic OncologyNo
22085R0001XRadiologyRadiation OncologyNo
3207RH0003XInternal MedicineHematology & OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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