Individual
JOHN KHOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2113 ADAMS GRV, SUITE 110, COLUMBIA, SC 29203-6951
(803) 261-6471
Mailing address
6511 MERRILL RD, COLUMBIA, SC 29209-2058
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
16727
SC
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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