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1679667638
JOSE D MENACHERY
COLUMBIA, SC
NPI
1679667638
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: SC 11638)
Enumeration Date
2006-10-03
Last Update Date
2007-10-16
Business Address
-- JOSE D MENACHERY M.D.
220 FAISON DR
COLUMBIA, SC 29203-3210
Phone number: 803-898-8405
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Mailing Address
-- JOSE D MENACHERY M.D.
PO BOX 485
COLUMBIA, SC 29202-0485
Phone number: 803-898-8405
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