| Advanced Vaccine Service | |
|
112 Norse Dr Columbia SC 29229-3304 | |
| (803) 736-0442 | |
| Not Available |
| Full Name | Advanced Vaccine Service |
|---|---|
| Speciality | General Practice |
| Location | 112 Norse Dr, Columbia, South Carolina |
| Authorized Official Name and Position | William Arthur Shrouds (CFO) |
| Authorized Official Contact | 8037360442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Vaccine Service 112 Norse Dr Columbia SC 29229-3304 Ph: (803) 736-0442 | Advanced Vaccine Service 112 Norse Dr Columbia SC 29229-3304 Ph: (803) 736-0442 |
| NPI Number | 1215255617 |
|---|---|
| Provider Enumeration Date | 05/10/2010 |
| Last Update Date | 05/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215255617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 20616 (South Carolina) | Primary |
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