Individual
DR. MANUEL ALEJANDRO PAEZ ESCAMILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
124 SUNSET CT, WEST COLUMBIA, SC 29169-2429
(803) 931-0077
Mailing address
124 SUNSET CT, WEST COLUMBIA, SC 29169-2429
(803) 931-0077
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
95389
SC
207WX0107X
Retina Specialist (Ophthalmology) Physician
95389
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2019
Last updated
02/08/2026
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