Individual
ACHU MOFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 TAYLOR ST STE 8A, COLUMBIA, SC 29201-2955
(803) 929-2955
(803) 929-2979
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35139
SC
207Q00000X
Family Medicine Physician
MT194743
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351390
—
SC
Enumeration date
05/18/2007
Last updated
03/19/2019
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