Provider First Line Business Practice Location Address:
ONE RICHLAND MEDICAL PARK
Provider Second Line Business Practice Location Address:
STE 200 CAROLINA ALLERGY & ASTHMA CONSULTANTS
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-765-9233
Provider Business Practice Location Address Fax Number:
803-779-0344
Provider Enumeration Date:
08/22/2006