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Individual

MARY VARGHESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5110 FAIRFIELD RD, COLUMBIA, SC 29203-4323
(803) 893-7019
Mailing address
PO BOX 740013, ATLANTA, GA 30374-0013

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
200000153
NC
207R00000X
Internal Medicine Physician
Primary
20724
SC

Other

Enumeration date
06/06/2006
Last updated
12/31/2025
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