Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaroslaw M Ambroziak, MD

Individual provider Family Medicine Physician · NPI 1477506459

Jaroslaw M Ambroziak, MD is a Family Practice in Columbia, South Carolina. Graduated from University of Minnesota Medical School in 1997, 29 years ago. Practices with Providence Family Practice LLC, a 4-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
29
Trained at
University of Minnesota Medical School
Licensed in
SC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2750 Laurel St 103
Columbia, SC 29204-2038
Phone: (803) 254-5171
Fax: (803) 779-7403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 21987 (SC)

Record details

NPI number1477506459
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESJuly 12, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 1997 (29 years in practice)
Group practice Providence Family Practice Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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