Organization
JAN PRESBERG MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN PRESBERG M.D. (MEDICAL DOCTOR AND OWNER)
(803) 791-1485
Entity
Organization
Contact information
Practice address
1904 SUNSET BLVD, SUITE D, WEST COLUMBIA, SC 29169-5932
(803) 791-1485
(803) 939-9378
Mailing address
1904 SUNSET BLVD, SUITE D, WEST COLUMBIA, SC 29169-5932
(803) 791-1485
(803) 939-9378
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
22802
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228024
—
SC
Enumeration date
05/03/2007
Last updated
10/22/2012
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