Individual
RONNIE W NEUBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 SALUDA RIDGE CT STE 200, WEST COLUMBIA, SC 29169-3461
(803) 794-0200
(803) 794-0404
Mailing address
112 SALUDA RIDGE CT STE 200, WEST COLUMBIA, SC 29169-3461
(803) 794-0200
(803) 794-0404
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12049
SC
2080P0207X
Pediatric Hematology & Oncology Physician
12049
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120498
—
SC
Enumeration date
03/03/2006
Last updated
10/03/2019
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