Individual
DR. RANDALL STEVEN SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146 N HOSPITAL DR, SUITE 140, WEST COLUMBIA, SC 29169-4800
(803) 936-7230
(803) 936-8097
Mailing address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 936-7230
(803) 936-8097
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11018
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110187
—
SC
Enumeration date
07/27/2005
Last updated
09/18/2015
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