South Carolina Department of Corrections
South Carolina Department of Corrections is a General Practice Physician in Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2013.
- Licensed in
- SC
- In the registry since
- 2013
Practice location Address checks out
4444 Broad River RdColumbia, SC 29210-4012
Phone: (803) 896-2707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 33514 (SC) |
|---|
Record details
| NPI number | 1104259340 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Tomarchio — Medical Director · (803) 896-1233 |
| NPI enumerated | August 12, 2013 |
| Last updated in NPPES | August 12, 2013 |
| Mailing address | 4444 Broad River Rd, P. O. Box 21787, Columbia, SC 29210-4012 |
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