Individual
DR. PRAXEDES SANTILLAN SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
(803) 695-6795
Mailing address
6439 GARNERS FERRY ROAD, COLUMBIA, SC 29209-1639
(803) 776-4000
(803) 695-6795
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7957
SC
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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