Organization
COLUMBIA COLON AND RECTAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE K ALBERT (BUSINESS MANAGER)
(803) 779-0819
Entity
Organization
Contact information
Practice address
1415 BLANDING ST, SUITE 2, COLUMBIA, SC 29201-2922
(803) 779-0819
(803) 779-9476
Mailing address
1415 BLANDING ST, SUITE 2, COLUMBIA, SC 29201-2922
(803) 779-0819
(803) 779-9476
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
13344
SC
Other
Enumeration date
10/11/2007
Last updated
10/15/2007
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