Individual
DR. CRAIG F MAYLATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3010 FARROW RD, SUITE 300, COLUMBIA, SC 29203-7607
(803) 434-1210
(803) 434-1212
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21850
SC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
21850
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T61536
—
SC
Enumeration date
03/01/2006
Last updated
02/11/2019
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