Individual
DR. ROBERT JOHN ORNELAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 MEDICAL CIR, FIRST FLOOR, WEST COLUMBIA, SC 29169-3612
(803) 796-6811
(803) 796-6851
Mailing address
214 LEVENTIS LN, LEXINGTON, SC 29072-3962
(803) 808-4441
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23376
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233768
—
SC
Enumeration date
08/20/2006
Last updated
07/28/2008
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