Healthcare Provider Details

I. General information

NPI: 1407435878
Provider Name (Legal Business Name): ADDISON PAIGE DORAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4311 HARD SCRABBLE RD
COLUMBIA SC
29229-9422
US

IV. Provider business mailing address

300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US

V. Phone/Fax

Practice location:
  • Phone: 803-434-7870
  • Fax: 803-434-3340
Mailing address:
  • Phone: 803-434-7870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number95406
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: