Individual
RONALD WAYNE CASSADA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PRISMA HEALTH MEDICAL GROUP INTERNAL MEDICINE CENTER, 1801 SUNSET DRIVE, COLUMBIA, SC 29203
(803) 434-4153
(803) 434-4160
Mailing address
PRISMA HEALTH MEDICAL GROUP INTERNAL MEDICINE CENTER, 1801 SUNSET DRIVE, COLUMBIA, SC 29203
(803) 434-4153
(803) 434-4160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RWC21A
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/19/2021
Last updated
07/30/2021
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