Organization
SOUTH CAROLINA DEPARTMENT OF CORRECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRANHAM TOMARCHIO M.D. (MEDICAL DIRECTOR)
(803) 896-1233
Entity
Organization
Contact information
Practice address
4444 BROAD RIVER RD, COLUMBIA, SC 29210-4012
(803) 896-2707
Mailing address
4444 BROAD RIVER RD, P. O. BOX 21787, COLUMBIA, SC 29210-4012
(803) 896-2707
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
33514
SC
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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