Individual
FREDERICK ANDOY TALIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
146 E. HOSPITAL DR., SUITE 550, WEST COLUMBIA, SC 29036
(803) 936-7410
(803) 936-7412
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
200400760
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137MW
BCBS
NC
05
—
89137MW
—
NC
Enumeration date
06/30/2005
Last updated
11/11/2020
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