Individual
DR. JOEL RICHARD OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1060 HIGHWAY 1 S, LUGOFF, SC 29078-9630
(803) 438-9759
(803) 438-9783
Mailing address
1818 HENDERSON ST, COLUMBIA, SC 29201-2647
(803) 758-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14459
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144597
—
SC
Enumeration date
04/26/2006
Last updated
09/16/2009
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