Individual
JASON MICHAEL LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 RICHLAND MEDICAL PARK DR, DEPT OF EMERGENCY MEDICINE #350, COLUMBIA, SC 29203-6863
(803) 434-3790
(803) 434-3946
Mailing address
5 RICHLAND MEDICAL PARK DR, DEPT OF EMERGENCY MEDICINE #350, COLUMBIA, SC 29203-6863
(803) 434-3790
(803) 434-3946
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LL29825
SC
Other
Enumeration date
07/18/2007
Last updated
11/18/2008
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