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Individual

CYNTHIA KOLB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 JOHNS STREET, SUITE 500, FLORENCE, SC 29506-2772
(843) 777-7400
(843) 777-7440
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 656-2240
(843) 656-2242

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01079093A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
18017
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
180173
SC
05
300005560
IN
01
8906639
NC MEDICAID
NC
Enumeration date
02/09/2006
Last updated
07/21/2022
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