Individual
DR. GEORGE STEPHEN KOTCHMAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 MEDICAL PARK RD, SUITE 210, COLUMBIA, SC 29203-6873
(803) 434-7995
(803) 434-8606
Mailing address
9 MEDICAL PARK RD, SUITE 200A, COLUMBIA, SC 29203-8003
(803) 434-7956
(803) 434-8606
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
8652
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086524
—
SC
Enumeration date
06/22/2006
Last updated
12/01/2008
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