Individual
DR. ERWIN ZETA MANGUBAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR, SUITE 310, COLUMBIA, SC 29203-6849
(803) 434-8323
(803) 434-8326
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
125052889
IL
207T00000X
Neurological Surgery Physician
Primary
38736
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
387361
—
SC
Enumeration date
07/31/2008
Last updated
03/16/2018
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