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Organization
SOPHISTICATION ME
Active
Organization
SOPHISTICATION ME
Active
Parent organization
SOPHISTICATION ME
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOPHISTICATION ME
Authorized official
DR. CYNTHIA MARIE PRIDGEN MD (PRESIDENT)
(516) 770-3159
Entity
Organization
Contact information
Practice address
100 WILDEWOOD PARK DRIVE, COLUMBIA, SC 29223
(516) 770-3159
Mailing address
100 WILDEWOOD PARK DRIVE, COLUMBIA, SC 29223
(516) 770-3159
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22803
SC
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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