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Organization
NORTHWEST COLUMBIA ENT
Active
Organization
NORTHWEST COLUMBIA ENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA W THOMPSON (ADMINISTRATOR)
(803) 926-8780
Entity
Organization
Contact information
Practice address
3937 SUNSET BLVD, STE F, WEST COLUMBIA, SC 29169
(803) 926-8780
(803) 791-4485
Mailing address
3937 SUNSET BLVD, STE F, WEST COLUMBIA, SC 29169
(803) 926-8780
(803) 791-4485
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
MD7394
SC
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
MD5034
AL
Other
Enumeration date
01/15/2008
Last updated
04/15/2008
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