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1073576781
ERIC E SHOUP
COLUMBIA, SC
NPI
1073576781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 744)
Enumeration Date
2006-04-11
Last Update Date
2021-06-25
Business Address
ERIC E SHOUP PA-C
8 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC 29203-8006
Phone number: 803-434-3800
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Mailing Address
ERIC E SHOUP PA-C
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320
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