Individual
THEOGNOSIA PAPASOZOMENOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3209 COLONIAL DR, FAMILY & PREVENTIVE MEDICINE, COLUMBIA, SC 29203-6930
(803) 434-6113
(803) 434-7231
Mailing address
820 SCENIC DR, MODESTO, CA 95350-6131
(803) 434-6113
(803) 434-7231
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
C158285
CA
2083P0901X
Public Health & General Preventive Medicine Physician
LL38568
SC
Other
Enumeration date
06/12/2008
Last updated
12/12/2018
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