Individual
TERESSA MAE OLDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 CENTER POINT RD STE 2360, COLUMBIA, SC 29210-5826
(803) 233-5500
(803) 258-6395
Mailing address
2000 CENTER POINT RD STE 2360, COLUMBIA, SC 29210-5826
(803) 233-5500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17442
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174420
—
SC
Enumeration date
06/29/2006
Last updated
04/18/2024
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