Individual
DR. SETH SHAWN MOLLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.S.
Contact information
Practice address
1910 BLANDING ST, COLUMBIA, SC 29201-3520
(803) 256-4107
(803) 254-2825
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
125053302
IL
207T00000X
Neurological Surgery Physician
Primary
36195
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
361960
—
SC
Enumeration date
10/05/2009
Last updated
04/30/2021
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