Organization
SANDHILLS RHEUMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNEETHA K MORTHALA M.D. (OWNER)
(803) 462-2884
Entity
Organization
Contact information
Practice address
2233 CLEMSON RD, COLUMBIA, SC 29229-8016
(803) 462-2884
(803) 462-2883
Mailing address
4611 HARD SCRABBLE RD, SUITE 359, COLUMBIA, SC 29229-8584
(803) 462-2884
(803) 462-2883
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
28893
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288931
—
SC
Enumeration date
07/24/2012
Last updated
06/28/2013
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