Individual
MARIA HOPE MAYOR MODESTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
114 GATEWAY CORPORATE BLVD., SUITE 450, COLUMBIA, SC 29203
(803) 865-4950
(803) 865-4955
Mailing address
114 GATEWAY CORPORATE BLVD., SUITE 450, COLUMBIA, SC 29203
(803) 865-4950
(803) 865-4955
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LP00146
RI
Other
Enumeration date
08/21/2006
Last updated
04/22/2016
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