MEDICARE: FRANK REID WARDER M.D.

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	207YX0901X	Otology & Neurotology Physician	5566	SC

General Provider Information

NPI Number	:	1164596441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK REID WARDER M.D.

Provider Business Mailing Address
First Line	:	2750 LAUREL ST STE 203
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-2024
Country	:	US
Telephone Number	:	803-256-7076
Fax Number	:	803-256-0961

Provider Business Practice Location Address
First Line	:	2750 LAUREL ST STE 203
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29204-2024
Country	:	US
Telephone Number	:	803-256-7076
Fax Number	:	803-256-0961

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	08/14/2013

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Directions to “ FRANK REID WARDER M.D.” Practice Location

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