Shant Thomassian Valid NPI
Individual provider · Family Medicine Physician · Columbia, SC
- NPI
- 1902546807
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- LL88326 (SC)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-03-30
- Last updated
- 2022-07-08
Practice location
3209 Colonial Dr
Columbia, SC 29203-6930
(803) 434-2420