Organization
ALBERT HUMPHREY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT HUMPHREY MD (OWNER)
(803) 754-0006
Entity
Organization
Contact information
Practice address
4100 MAIN ST, SUITE 101, COLUMBIA, SC 29203-5800
(803) 754-0006
(803) 735-1635
Mailing address
4100 MAIN ST, SUITE 101, COLUMBIA, SC 29203-5800
(803) 754-0006
(803) 735-1635
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8045
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0304
—
SC
Enumeration date
01/02/2008
Last updated
12/18/2014
Update your record
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