Organization
ANNAROSAN P JOY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FREDIA M. TARLTON (OFFICE MANAGER)
(803) 254-2786
Entity
Organization
Contact information
Practice address
2701 MIDDLEBURG DR, COLUMBIA, SC 29204-2405
(803) 254-2786
(803) 254-9015
Mailing address
2701 MIDDLEBURG DR, COLUMBIA, SC 29204-2405
(803) 254-2786
(803) 254-9015
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
23437
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234375
—
SC
Enumeration date
10/03/2006
Last updated
02/12/2008
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