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NPI Code Detail

MEDICARE: ALAN B KANTSIPER MD

MEDICARE: ALAN B KANTSIPER MD
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
12085R0202XDiagnostic Radiology Physician6819SC

General Provider Information

NPI Number : 1730153248
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN B KANTSIPER MD
Provider Business Mailing Address
First Line : PO BOX 1247
Second Line :
City : COVINGTON
State : GA
Zip : 30015-1247
Country : US
Telephone Number : 803-462-3770
Fax Number : 803-462-3771
Provider Business Practice Location Address
First Line : 2000 PARK ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2011
Country : US
Telephone Number : 803-462-3770
Fax Number : 803-462-3771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 06/16/2014

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Directions to “ ALAN B KANTSIPER MD” Practice Location

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