Individual
DR. DONALD RAY SIDDOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8 RICHLAND MEDICAL PARK DR STE 200, COLUMBIA, SC 29203-8008
(803) 256-6511
(803) 376-5885
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD442073
PA
207RC0000X
Cardiovascular Disease Physician
27143
WV
207RC0001X
Clinical Cardiac Electrophysiology Physician
27143
WV
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
86722
SC
Other
Enumeration date
07/02/2008
Last updated
03/23/2022
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