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1932361243
THEO N MWAMBA
COLUMBIA, SC
NPI
1932361243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 31820)
Enumeration Date
2008-06-27
Last Update Date
2017-03-23
Business Address
-- THEO N MWAMBA MD
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
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Mailing Address
-- THEO N MWAMBA MD
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
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