Individual
DR. THOMAS JOSEPH MOTYCKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1715 BLANDING STREET, COLUMBIA, SC 29201
(803) 799-3926
(803) 256-7896
Mailing address
1715 BLANDING STREET, COLUMBIA, SC 29201
(803) 799-3926
(803) 256-7896
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16146
SC
208100000X
Physical Medicine & Rehabilitation Physician
16146
SC
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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