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1316912066
ELLIE BRYAN MOZINGO
COLUMBIA, SC
NPI
1316912066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: SC 15050)
Enumeration Date
2006-02-17
Last Update Date
2021-07-20
Business Address
ELLIE BRYAN MOZINGO MD
125 ALPINE CIRCLE
COLUMBIA, SC 29223
Phone number: 803-779-3548
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Mailing Address
ELLIE BRYAN MOZINGO MD
125 ALPINE CIRCLE
COLUMBIA, SC 29223
Phone number: 803-779-3548
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