Organization
SURGICAL SERVICES OF COLUMBIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA LEE HARRELL M.D. (MANAGING/PARTNER)
(803) 779-0277
Entity
Organization
Contact information
Practice address
1707 BERNARDIN AVE, SUITE B, COLUMBIA, SC 29204-2004
(803) 779-0277
(803) 779-0275
Mailing address
1707 BERNARDIN AVE, SUITE B, COLUMBIA, SC 29204-2004
(803) 779-0277
(803) 779-0275
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3887
—
SC
Enumeration date
02/23/2006
Last updated
08/22/2020
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