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Individual

DR. BRIAN MIKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 S HERLONG AVE, SUITE C, ROCK HILL, SC 29732-3399
(803) 323-2775
(803) 323-2776
Mailing address
200 S HERLONG AVE, SUITE C, ROCK HILL, SC 29732-3399
(803) 323-2775
(803) 323-2776

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32598
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
325981
SC
Enumeration date
12/16/2006
Last updated
04/13/2011
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