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NPI Code Detail

MEDICARE: ANNAROSAN P JOY MD

MEDICARE: ANNAROSAN P JOY MD
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
1207QA0505XAdult Medicine Physician23437SC

Other Identifiers

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

General Provider Information

NPI Number : 1508950494
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANNAROSAN P JOY MD
Provider Business Mailing Address
First Line : 2701 MIDDLEBURG DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2405
Country : US
Telephone Number : 803-254-2786
Fax Number : 803-254-9015
Provider Business Practice Location Address
First Line : 2701 MIDDLEBURG DR
Second Line :
City : COLUMBIA
State : SC
Zip : 29204-2405
Country : US
Telephone Number : 803-254-2786
Fax Number : 803-254-9015
Authorized Official
Title or Position : OFFICE MANAGER
Name : MS. FREDIA M. TARLTON
Credential :
Telephone Number : 803-254-2786
Provider Enumeration Date : 10/03/2006
Last Update Date : 02/12/2008

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Directions to “ANNAROSAN P JOY MD ” Practice Location

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