Individual
NACEME AZIZZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
TAYLOR AT MARION ST, COLUMBIA, SC 29220-0001
(803) 296-3627
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1613
SC
Other
Enumeration date
07/30/2012
Last updated
03/09/2020
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