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Organization
COLUMBIA NEPHROLOGY ASSOCIATES PA
Active
Organization
COLUMBIA NEPHROLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL B. SHEALY MD (AUTHORIZED OFFICIAL)
(803) 331-8997
Entity
Organization
Contact information
Practice address
121 PARK CENTRAL DR STE 100, COLUMBIA, SC 29203-6476
(803) 252-3373
Mailing address
121 PARK CENTRAL DR STE 100, COLUMBIA, SC 29203-6476
(803) 252-3373
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/20/2017
Last updated
07/31/2026
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