Individual
DR. TODD GANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 300, COLUMBIA, SC 29203-6831
(803) 545-5500
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7303
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2016-01029
NC
207R00000X
Internal Medicine Physician
40962
SC
207RP1001X
Pulmonary Disease Physician
Primary
40962
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467898767
—
NC
05
—
NC2762
—
SC
Enumeration date
05/14/2013
Last updated
06/10/2020
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