Healthcare Provider Details

I. General information

NPI: 1073508446
Provider Name (Legal Business Name): BIOWATCH MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 WASHINGTON ST SUITE 400
COLUMBIA SC
29201-3221
US

IV. Provider business mailing address

1233 WASHINGTON ST SUITE 400
COLUMBIA SC
29201-3221
US

V. Phone/Fax

Practice location:
  • Phone: 803-233-0244
  • Fax: 803-339-1871
Mailing address:
  • Phone: 803-233-0244
  • Fax: 803-339-1871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number StateSC

VIII. Authorized Official

Name: MS. ANN BYRD
Title or Position: DIRECTOR CLINICAL SERVICES
Credential:
Phone: 803-233-0244