Individual
DOMINICK RICCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 MEDICAL PARK RD, COLUMBIA, SC 29203-6808
(803) 434-8000
Mailing address
2 MEDICAL PARK RD, COLUMBIA, SC 29203-6808
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
LL91526
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2024
Last updated
08/02/2024
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