Individual
DR. CONSOLACION CABRAL MANDANAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2824 CHATSWORTH RD, COLUMBIA, SC 29223-1804
(803) 788-6846
(803) 788-6846
Mailing address
2824 CHATSWORTH RD, COLUMBIA, SC 29223-1804
(803) 788-6846
(803) 788-6846
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
7711
SC
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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