University Of South Carolina School Of Medicine

NPI 1497040802 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1497040802
Enumeration Date 06/14/2011
Last Updated 06/14/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name MITZI MITZI
Position CHAIR OF PATH, MICRO, AND IMMUNO
Phone (803) 216-3406
Fax (803) 216-3413
Practice Location
6439 GARNERS FERRY RD
BLDG 1, B33
COLUMBIA SC, 29209-1638, US
Phone (803) 216-3406
Fax (803) 216-3413
Business Location
6439 GARNERS FERRY RD
BLDG 1, B33
COLUMBIA SC, 29209-1638, US
Phone (803) 216-3406
Fax (803) 216-3413
Toxanomy
Taxonomy Code 291U00000X
License State
License Number G28417
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According to our database, University Of South Carolina School Of Medicine NPI is 1497040802, taxonomy code is 291U00000X and license number is G28417, license state is located at . University Of South Carolina School Of Medicine physically located at 6439 Garners Ferry Rd, Columbia SC, 29209-1638. NPI Number 1033115704 has the healthcare provider type.

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1497040802 NPI number is provided on an as is basis without warranty of any kind. 1497040802 is maintained by the National Plan & Provider Enumeration System. The contents of University Of South Carolina School Of Medicine are for informational purposes only.