Individual
NEDA AZIZZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 PALMETTO HEALTH PKWY, COLUMBIA, SC 29212
(803) 434-8721
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38338
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
383383
—
SC
Enumeration date
06/08/2015
Last updated
07/12/2018
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