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Organization

KYNORA MEDICAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PARIS S GARTMON NP (NURSE PRACTITIONER)
(803) 386-7559
Entity
Organization

Contact information

Practice address
540 SAINT ANDREWS RD STE 216A, COLUMBIA, SC 29210-4500
(803) 261-0175
(803) 291-5942
Mailing address
540 SAINT ANDREWS RD STE 216A, COLUMBIA, SC 29210-4500
(803) 261-0175
(803) 291-5942

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
11/02/2021
Last updated
11/02/2021
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