Colby, Randall S

Colby, Randall S is an individual health care provider with primary practice located at 115 Atrium Way Suite 120, Columbia SC 29223-6371. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Colby, Randall S can be contacted via phone (803) 736-6466.

Contact Information

Primary practice address
115 Atrium Way Suite 120 Columbia SC 29223-6371
Phone: (803) 736-6466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 19446 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 19446 South Carolina

Profile Details

NPI number 1477544112
LBN Legal business name Colby, Randall S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477544112 NPPES
South Carolina MEDICAID 194462

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