Individual
MAURIO RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 PALMETTO HEALTH PKWY STE 104, COLUMBIA, SC 29212-1754
(803) 000-0000
Mailing address
100 PALMETTO HEALTH PKWY STE 104, COLUMBIA, SC 29212-1754
(803) 782-4278
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2211
SC
Other
Enumeration date
10/21/2014
Last updated
09/20/2021
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