Individual
TESSA VERA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1228 HARDEN ST, COLUMBIA, SC 29204-1800
(803) 748-7002
(803) 252-5259
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5969
(803) 217-0026
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LL33831
SC
Other
Enumeration date
07/01/2011
Last updated
04/25/2014
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