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Individual

REBECCA RUTH KOCAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
8 RICHLAND MEDICAL PARK DR STE 100, COLUMBIA, SC 29203-8006
(803) 434-3800
(803) 744-2759
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
82218
SC
207RC0000X
Cardiovascular Disease Physician
Primary
82218
SC

Other

Enumeration date
05/28/2019
Last updated
09/15/2025
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