Individual
DAVID BRADLEY PAVLAKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3067 LINDENWOOD DR, COLUMBIA, SC 29204-3165
(803) 586-4454
Mailing address
3067 LINDENWOOD DR, COLUMBIA, SC 29204-3165
(803) 586-4454
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1195
SC
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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