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Individual

DR. MARC S TODD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7941 BROAD RIVER RD, IRMO, SC 29063-2358
(803) 407-0704
(803) 462-0312
Mailing address
601 CLEMSON RD, COLUMBIA, SC 29229-4341
(803) 788-6146
(803) 462-0312

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25733
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25733
SC LICENSE #
SC
Enumeration date
07/26/2006
Last updated
07/12/2019
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