Individual
KATHERINE TATIJANA OSTAPOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
146 E HOSPITAL DR STE 400, WEST COLUMBIA, SC 29169-4800
(803) 936-3300
(803) 936-7735
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
39819
SC
2086X0206X
Surgical Oncology Physician
Primary
39819
SC
Other
Enumeration date
07/23/2007
Last updated
11/10/2020
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