Individual
ELLIOTT JOHN PENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 MEDICAL PARK, STE 350, EMERGENCY MEDICINE DEPARTMENT, COLUMBIA, SC 29203
(803) 434-3790
(803) 434-6299
Mailing address
14 MEDICAL PARK, STE 350, EMERGENCY MEDICINE DEPARTMENT, COLUMBIA, SC 29203
(803) 434-3790
(803) 434-6299
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A153882
CA
Other
Enumeration date
06/18/2015
Last updated
08/07/2018
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