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NPI Code Detail

MEDICARE: JANA ELISE RICH

MEDICARE: JANA ELISE RICH
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
1208800000XUrology Physician31307SC

General Provider Information

NPI Number : 1659235208
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANA ELISE RICH
Provider Business Mailing Address
First Line : 653 CLOVER VIEW RD
Second Line :
City : CHAPIN
State : SC
Zip : 29036-7117
Country : US
Telephone Number : 602-677-1530
Fax Number : 803-739-3660
Provider Business Practice Location Address
First Line : 222 E MEDICAL LN STE 101
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29169-4850
Country : US
Telephone Number : 803-739-3660
Fax Number : 803-739-3660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ JANA ELISE RICH ” Practice Location

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