Individual
MARYNA VAN STADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 MEDICAL PARK RD STE 300, COLUMBIA, SC 29203-6839
(803) 434-8800
(803) 434-8802
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5671
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2024
Last updated
03/05/2025
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