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Individual

HEATHER MARIE STAPLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9 RICHLAND MEDICAL PARK DR STE 505, COLUMBIA, SC 29203
(803) 434-2505
(803) 434-2181
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Q7970
TX
2080P0214X
Pediatric Pulmonology Physician
Primary
35951
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
359515
SC
Enumeration date
06/25/2013
Last updated
07/24/2019
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