Individual
DR. MIRSAD MUJADZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 MEDICAL PARK RD STE 300, COLUMBIA, SC 29203-6839
(803) 434-8800
(803) 929-0492
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
40622
SC
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
064160
GA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
40622
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GA1179
—
SC
Enumeration date
10/05/2007
Last updated
09/21/2022
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