Individual
DR. JILL MARIE MUMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1330 TAYLOR ST, COLUMBIA, SC 29201-2915
(803) 296-5137
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
38170
SC
Other
Enumeration date
06/08/2011
Last updated
03/18/2021
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