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Individual

MS. REGINA ANN KODER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3400 FOREST DR, SUITE 2072, COLUMBIA, SC 29204-4041
(803) 427-5403
(803) 438-8626
Mailing address
401 OLD BRASS DR, COLUMBIA, SC 29229-6535
(803) 427-5403
(803) 438-8626

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
3428
SC

Other

Enumeration date
05/12/2009
Last updated
05/12/2009
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