Provider First Line Business Practice Location Address:
PRISMA HEALTH OCCUPATIONAL MEDICINE
Provider Second Line Business Practice Location Address:
1333 TAYLOR STREETS SUITE 3-H
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29220-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
180-329-6254
Provider Business Practice Location Address Fax Number:
180-329-6254
Provider Enumeration Date:
01/03/2007