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NPI Code Detail

MEDICARE: RAYMOND OSEGUEDA

MEDICARE: RAYMOND OSEGUEDA
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
1163WC0200XCritical Care Medicine Registered Nurse247324SC
2367500000XCertified Registered Nurse AnesthetistAPN.27457SC

General Provider Information

NPI Number : 1134795065
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND OSEGUEDA
Provider Business Mailing Address
First Line : 6311 GARNERS FERRY RD BLDG 101
Second Line :
City : COLUMBIA
State : SC
Zip : 29209-1445
Country : US
Telephone Number : 803-216-3753
Fax Number :
Provider Business Practice Location Address
First Line : 6311 GARNERS FERRY RD BLDG 101
Second Line :
City : COLUMBIA
State : SC
Zip : 29209-1445
Country : US
Telephone Number : 803-216-3753
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2021
Last Update Date : 09/02/2025

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Directions to “ RAYMOND OSEGUEDA ” Practice Location

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