Healthcare Provider Details
I. General information
NPI: 1558603241
Provider Name (Legal Business Name): STEPHANIE PAOLINI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/20/2013
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8 RICHLAND MEDICAL PARK DR STE 420
COLUMBIA SC
29203-8004
US
IV. Provider business mailing address
300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US
V. Phone/Fax
- Phone: 803-545-6050
- Fax:
- Phone: 864-695-6697
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084N0400X |
| Taxonomy | Neurology Physician |
| License Number | 82051 |
| License Number State | SC |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084N0600X |
| Taxonomy | Clinical Neurophysiology Physician |
| License Number | 82051 |
| License Number State | SC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: