Individual
CHARLOTTE COLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6859
(803) 434-7606
Mailing address
9 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6859
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LL87829
SC
Other
Enumeration date
04/19/2022
Last updated
07/08/2022
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