Individual
JIM C CHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 FOREST DR STE 400, COLUMBIA, SC 29204-4057
(803) 779-7316
(803) 343-2538
Mailing address
3600 FOREST DR STE 400, COLUMBIA, SC 29204-4057
(803) 779-7316
(803) 343-2538
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
12850
SC
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
12850
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070017293
RAILROAD MEDICARE
SC
Enumeration date
02/13/2006
Last updated
03/07/2023
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