Individual
CARA MP ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
FOURTEEN MEDICAL PARK, SUITE 400, COLUMBIA, SC 29203
(803) 434-7950
(803) 434-3855
Mailing address
NINE MED PARK, SUITE 200A UNIV PEDIATRICS, COLUMBIA, SC 29203
(803) 434-7950
(803) 434-3855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
23911
SC
208000000X
Pediatrics Physician
Primary
23911
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
SC
01
—
23911
SC MEDICAL LIC #
SC
05
—
GP0219
—
SC
Enumeration date
07/07/2006
Last updated
05/21/2020
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