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SIDNEY EMMETT MORRISON III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
114 GATEWAY CORPORATE BLVD STE 120, COLUMBIA, SC 29203-9785
(803) 865-4594
(803) 865-4595
Mailing address
114 GATEWAY CORPORATE BLVD STE 120, COLUMBIA, SC 29203-9785
(803) 865-4594
(803) 865-4595

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
13351
SC
208C00000X
Colon & Rectal Surgery Physician
Primary
13351
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
280001192
RAILROAD MEDICARE
SC
01
P00868707
RAILROAD MEDICARE
SC
05
TL4224
SC
Enumeration date
07/26/2005
Last updated
09/08/2023
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