Organization
SANDHILLS OBGYN ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN O NWANAGU MD (PRESIDENT)
(803) 960-6133
Entity
Organization
Contact information
Practice address
1301 TAYLOR ST, SUITE 2-I, COLUMBIA, SC 29201-2942
(803) 960-6133
Mailing address
PO BOX 7481, COLUMBIA, SC 29202-7481
(803) 960-6133
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21430
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T55936
—
SC
Enumeration date
06/29/2011
Last updated
06/29/2011
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