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Individual

DR. MANORAMA MISHRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8301 FARROW RD, COLUMBIA, SC 29203-3245
(803) 935-6728
(803) 935-5081
Mailing address
8301 FARROW RD., COLUMBIA, SC 29203-3245
(803) 935-6728
(803) 935-5081

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11487
SC

Other

Enumeration date
06/05/2009
Last updated
06/05/2009
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