Individual
KASIM LENNOX MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 TAYLOR ST STE 5F, COLUMBIA, SC 29201-2951
(803) 748-9966
(803) 748-7174
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
88683
SC
Other
Enumeration date
06/26/2013
Last updated
09/15/2022
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