# NORTHWEST COLUMBIA ENT

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

## Provider details

- **NPI number:** 1487830964
- **Authorized official:** MS. PATRICIA W THOMPSON (ADMINISTRATOR)
- **Authorized official phone:** (803) 926-8780

## Contact information

- **Practice address:** 3937 SUNSET BLVD, STE F, WEST COLUMBIA, SC 29169
- **Practice address phone:** (803) 926-8780
- **Practice address fax:** (803) 791-4485
- **Mailing address:** 3937 SUNSET BLVD, STE F, WEST COLUMBIA, SC 29169
- **Mailing address phone:** (803) 926-8780
- **Mailing address fax:** (803) 791-4485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | MD7394 | SC | Yes |
| 261QS1200X | Sleep Disorder Diagnostic Clinic/Center | MD5034 | AL | — |

## Other

- **Enumeration date:** 01/15/2008
- **Last updated:** 04/15/2008