Individual
GOWRI ANIL PEETHAMBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
PRISMA HEALTH MEDICAL GROUP NEUROLOGY, 8 MEDICAL PARK, STE 420, COLUMBIA, SC 29203
(803) 545-6050
(803) 545-6051
Mailing address
PRISMA HEALTH MEDICAL GROUP NEUROLOGY, 8 MEDICAL PARK, STE 420, COLUMBIA, SC 29203
(803) 545-6050
(803) 545-6051
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
LL86496
SC
2084V0102X
Vascular Neurology Physician
54417
IA
Other
Enumeration date
08/18/2021
Last updated
03/10/2025
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