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1972615631
MARTIN C MIRRA
COLUMBIA, SC
NPI
1972615631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: SC 19670)
Enumeration Date
2006-08-31
Last Update Date
2018-05-18
Business Address
MARTIN C MIRRA MD
1333 TAYLOR STREET STE 3A
COLUMBIA, SC 29201
Phone number: 803-254-4707
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Mailing Address
MARTIN C MIRRA MD
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320
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