Individual
JENNY TATIANA GONZALEZ GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PRISMA HEALTH FAMILY MEDICAL CENTER, 3209 COLONIAL DRIVE, COLUMBIA, SC 29203
(803) 434-6113
(803) 434-8478
Mailing address
PRISMA HEALTH FAMILY MEDICAL CENTER, 3209 COLONIAL DRIVE, COLUMBIA, SC 29203
(803) 434-6113
(803) 434-8478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL84579
SC
Other
Enumeration date
06/24/2020
Last updated
05/09/2024
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