Type 2 organization · NPI 1003093733

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251S00000X · COLUMBIA, SC

Why this profile is appearing now

Observed change signals

No current public change signal is attached to this profile.

Reported classification

Taxonomies

CodeDescriptionSource flag
251S00000X 251S00000X Primary
101YM0800X 101YM0800X Additional
252Y00000X 252Y00000X Additional
253J00000X 253J00000X Additional
261QM0850X 261QM0850X Additional
261QM0855X 261QM0855X Additional
261QR0405X 261QR0405X Additional

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s