# OPH MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235459900
- **Authorized official:** DR. OLIVER PIERRE HARDEN M.D. (CEO)
- **Authorized official phone:** (803) 665-6170

## Contact information

- **Practice address:** 61 SHORELINE DR, COLUMBIA, SC 29229-7300
- **Practice address phone:** (803) 665-6170
- **Practice address fax:** (803) 788-5823
- **Mailing address:** 4611 HARD SCRABBLE RD, SUITE 207, COLUMBIA, SC 29229-8584
- **Mailing address phone:** (803) 665-6170
- **Mailing address fax:** (803) 788-5823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 019338 | SC | Yes |

## Other

- **Enumeration date:** 06/04/2010
- **Last updated:** 06/04/2010