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Organization
SOUTH CAROLINA DEPARTMENT OF CORRECTIONS
Active
Organization
SOUTH CAROLINA DEPARTMENT OF CORRECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRANHAM TOMARCHIO M.D. (MEDICAL DIRECTOR)
(803) 896-1233
Entity
Organization
Contact information
Practice address
4444 BROAD RIVER RD, COLUMBIA, SC 29210-4012
(803) 896-2707
Mailing address
4444 BROAD RIVER RD, P. O. BOX 21787, COLUMBIA, SC 29210-4012
(803) 896-2707
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
33514
SC
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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