Individual
TIONA GUESS PRAYLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2900 SUNSET BLVD, WEST COLUMBIA, SC 29169-3422
(803) 744-3205
Mailing address
2900 SUNSET BLVD, WEST COLUMBIA, SC 29169-3422
(803) 744-3205
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MMD.35843 TL
SC
390200000X
Student in an Organized Health Care Education/Training Program
149375
NC
Other
Enumeration date
06/19/2008
Last updated
08/02/2013
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