Organization
UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MITZI NAGARKATTI PHD (CHAIR OF PATH, MICRO, AND IMMUNO)
(803) 216-3404
Entity
Organization
Contact information
Practice address
6439 GARNERS FERRY RD, BLDG 1, B33, COLUMBIA, SC 29209-1638
(803) 216-3406
(803) 216-3413
Mailing address
6439 GARNERS FERRY RD, BLDG 1, B33, COLUMBIA, SC 29209-1638
(803) 216-3406
(803) 216-3413
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
G28417
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZCS92995755
STATE HEALTH PLAN
SC
Enumeration date
06/14/2011
Last updated
06/14/2011
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