# THOMAS J CARZOLI MD PA

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

## Provider details

- **NPI number:** 1417317264
- **Authorized official:** TAMMY B WILLARD (PRACTICE MANAGER)
- **Authorized official phone:** (803) 765-2090

## Contact information

- **Practice address:** 1301 TAYLOR ST, SUITE 5K, COLUMBIA, SC 29201-2942
- **Practice address phone:** (803) 765-2090
- **Mailing address:** 1301 TAYLOR ST, SUITE 5K, COLUMBIA, SC 29201-2942
- **Mailing address phone:** (803) 765-2090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 2580 | SC | Yes |

## Other

- **Enumeration date:** 03/07/2016
- **Last updated:** 03/07/2016