Individual
MARY K NEUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1301 TAYLOR ST, SUITE 6J, COLUMBIA, SC 29201-2942
(803) 296-2942
(803) 365-1350
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7303
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
12002
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120023
—
SC
01
—
AA97649505
MEDICARE PTAN
SC
Enumeration date
05/12/2006
Last updated
04/30/2013
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