MEDICARE: VOJTECH SAILER MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	SC7948	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124143565
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOJTECH SAILER MD PA

Provider Business Mailing Address
First Line	:	6148 ST ANDREWS RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29212-3122
Country	:	US
Telephone Number	:	803-798-0580
Fax Number	:	803-798-0047

Provider Business Practice Location Address
First Line	:	6148 ST ANDREWS RD
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29212-3122
Country	:	US
Telephone Number	:	803-798-0580
Fax Number	:	803-798-0047

Authorized Official
Title or Position	:	SOLE PHYSICAN
Name	:	VOJTECH SAILER
Credential	:	MD
Telephone Number	:	803-798-0580

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	08/22/2020

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