Individual
TERRI BAMONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6706 NURSERY RD, COLUMBIA, SC 29212-2020
(803) 476-4300
Mailing address
222 WHITTINGTON CT, COLUMBIA, SC 29210-3833
(803) 772-8255
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
311
SC
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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