Organization
MIDLANDS NEPHROLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM VO MD (OFFICE MANAGER)
(803) 736-0963
Entity
Organization
Contact information
Practice address
204 COWDRAY PARK, COLUMBIA, SC 29223-8128
(803) 736-0963
(803) 736-0963
Mailing address
204 COWDRAY PARK, COLUMBIA, SC 29223-8128
(803) 736-0963
(803) 736-0963
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10735
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP 1717
—
SC
Enumeration date
12/27/2007
Last updated
02/09/2010
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