Organization
GREATER COLUMBIA OB-GYN, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHMOUD MOSTAFA M.D. (OWNER)
(803) 252-0470
Entity
Organization
Contact information
Practice address
1301 TAYLOR ST, SUITE 3L, COLUMBIA, SC 29201-2942
(803) 252-0470
(803) 252-0611
Mailing address
1301 TAYLOR ST, SUITE 3L, COLUMBIA, SC 29201-2942
(803) 252-0470
(803) 252-0611
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
8219
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2086
—
SC
Enumeration date
01/09/2006
Last updated
09/18/2008
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