Organization
PALMETTO KIDNEY AND HYPERTENSION ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN OSAGUONA MD (SOLE MEMBER)
(803) 722-4001
Entity
Organization
Contact information
Practice address
2601 LAUREL ST STE 230, COLUMBIA, SC 29204-2034
(803) 722-4001
(803) 205-4008
Mailing address
2601 LAUREL ST STE 230, COLUMBIA, SC 29204-2034
(803) 722-4001
(803) 205-4008
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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