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1104807668
FRED J KUDRIK
COLUMBIA, SC
NPI
1104807668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: SC 22933)
Enumeration Date
2005-11-10
Last Update Date
2009-11-12
Business Address
Dr. FRED J KUDRIK MD
166 STONERIDGE DR
COLUMBIA, SC 29210-8239
Phone number: 803-461-3000
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Mailing Address
Dr. FRED J KUDRIK MD
PO BOX 2046
WEST COLUMBIA, SC 29171-2046
Phone number: 803-461-3000
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