Individual
TAD ALAN VENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PALMETTO HEALTH PKWY, SUITE G-100, COLUMBIA, SC 29212-1753
(803) 434-4700
(803) 434-8747
Mailing address
PO BOX 402145, ATLANTA, GA 30384-2145
(803) 296-7305
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
27863
SC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
27863
SC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
27863
SC
Other
Enumeration date
03/20/2007
Last updated
11/29/2016
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