Organization
SOPHISTICATION ME
Active
Parent organization
SOPHISTICATION ME
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOPHISTICATION ME
Authorized official
DR. CYNTHIA MARIE PRIDGEN MD (PRESIDENT)
(516) 770-3159
Entity
Organization
Contact information
Practice address
100 WILDEWOOD PARK DRIVE, COLUMBIA, SC 29223
(516) 770-3159
Mailing address
100 WILDEWOOD PARK DRIVE, COLUMBIA, SC 29223
(516) 770-3159
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22803
SC
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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