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1992400337
SAMUEL ELLIOTT
COLUMBIA, SC
NPI
1992400337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: SC LL89730)
Enumeration Date
2023-04-04
Last Update Date
2023-07-11
Business Address
SAMUEL ELLIOTT
2 MEDICAL PARK RD
COLUMBIA, SC 29203-6808
Phone number: 803-434-6956
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Mailing Address
SAMUEL ELLIOTT
2 MEDICAL PARK RD
COLUMBIA, SC 29203-6808
Phone number:
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