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Individual

DR. ALBERT HUMPHREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4100 N. MAIN ST, SUITE 203, COLUMBIA, SC 29203
(803) 754-0006
(803) 735-1635
Mailing address
4100 N. MAIN ST, SUITE 203, COLUMBIA, SC 29203
(803) 754-0006
(803) 735-1635

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8045
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
080450
SC
05
GP0304
SC
Enumeration date
03/24/2006
Last updated
01/17/2020
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