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1255096541
KYNORA MEDICAL GROUP, LLC
COLUMBIA, SC
NPI
1255096541
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Entity Type
Organization
Authorized Contact
PARIS S GARTMON
Nurse Practitioner
803-386-7559
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2021-11-02
Last Update Date
2021-11-02
Business Address
KYNORA MEDICAL GROUP, LLC
540 SAINT ANDREWS RD STE 216A
COLUMBIA, SC 29210-4500
Phone number: 803-261-0175
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Mailing Address
KYNORA MEDICAL GROUP, LLC
540 SAINT ANDREWS RD STE 216A
COLUMBIA, SC 29210-4500
Phone number: 803-261-0175
Copy
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