Individual
KEVIN VIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3209 COLONIAL DRIVE, FAMILY MEDICINE CENTER, COLUMBIA, SC 29203
(803) 434-6116
(803) 434-8478
Mailing address
3209 COLONIAL DRIVE, FAMILY MEDICINE CENTER, COLUMBIA, SC 29203
(803) 434-6116
(803) 434-8478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL36932
SC
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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