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1750759056
STAVROS CHRYSOSTOMIDES
COLUMBIA, SC
NPI
1750759056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: SC 2399)
Enumeration Date
2015-09-03
Last Update Date
2022-07-21
Business Address
-- STAVROS CHRYSOSTOMIDES PA-C
1910 BLANDING ST
COLUMBIA, SC 29201-3520
Phone number: 803-256-4107
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Mailing Address
-- STAVROS CHRYSOSTOMIDES PA-C
1910 BLANDING STREET
COLUMBIA, SC 29201
Phone number: 803-256-4107
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