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Individual

DR. CHANSINA UM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3 RICHLAND MEDICAL PARK DR, SUITE 110, COLUMBIA, SC 29203-6849
(803) 807-9388
(803) 807-9391
Mailing address
3 RICHLAND MEDICAL PARK DR, SUITE 110, COLUMBIA, SC 29203-6849
(803) 807-9388
(803) 807-9391

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC571
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DE3898
SC
05
P05710
SC
Enumeration date
07/02/2006
Last updated
02/15/2019
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