Individual
DR. ORSON RAVENELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 RICHLAND MEDICAL PARK, COLUMBIA, SC 29203-1466
(803) 753-7524
(803) 753-8389
Mailing address
460 CLEMSON RD, COLUMBIA, SC 29229-7925
(803) 438-3800
(803) 438-3898
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
27385
SC
Other
Enumeration date
07/20/2006
Last updated
07/14/2016
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