Organization
UNIVERSITY SPECIALTY CLINICS - OPHTHALMOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D ANDERSON MD (CHAIR)
(803) 434-6836
Entity
Organization
Contact information
Practice address
4 MEDICAL PARK RD, SUITE 100, COLUMBIA, SC 29203-6863
(803) 434-6836
(803) 434-1581
Mailing address
3555 HARDEN STREET EXT, 15 MEDICAL PARK, SUITE 300, COLUMBIA, SC 29203-6894
(803) 545-5022
(803) 256-0977
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC4090
—
SC
Enumeration date
06/30/2006
Last updated
02/07/2014
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