Individual
MICHAEL GORDON SRIBNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2117 GERVAIS STREET, WAVERLY FAMILY PRATICE, COLUMBIA, SC 29204
(803) 748-1181
Mailing address
2117 GERVAIS STREET, WAVERLY FAMILY PRACTICE, COLUMBIA, SC 29403
(803) 748-1181
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7174
SC
Other
Enumeration date
03/12/2008
Last updated
04/30/2010
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