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Coleman S Fravel, PA
Surgical Physician Assistant in Columbia, South Carolina
NPI 1760584981

Coleman S Fravel is a Surgical Physician Assistant based in Atlanta, SC and is specialized in Surgical. Coleman S Fravel practices in Columbia, SC and has the professional credentials of PA. The NPI Number for Coleman S Fravel is 1760584981 and holds a License No. 552 (South Carolina).

The current practice location address for Coleman S Fravel is 3 Richland Medical Park Dr Ste 310, Columbia, SC and can be reached out via phone at 803-434-8323 and via fax at 803-434-8326. You can also correspond with Coleman S Fravel through the mailing address at PO BOX 743904, ATLANTA, GA - 30374-3904 (mailing address contact number: 803-296-7320).

Location: 3 Richland Medical Park Dr Ste 310, Columbia, SC, 30374-3904
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Provider Profile Details
NPI Number
1760584981
Provider Name
Coleman S Fravel
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
3 Richland Medical Park Dr Ste 310, Columbia, SC, 30374-3904
Phone Number
803-434-8323
Fax Number
803-434-8326
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0089PA 05 SC
institution
Provider Business Practice Location Address Details
Address
3 Richland Medical Park Dr Ste 310
City
State
Zip
29203
Phone Number
803-434-8323
Fax Number
803-434-8326
person
Provider Business Mailing Address Details
Address
3 Richland Medical Park Dr Ste 310
City
State
Zip
29203
Phone Number
803-434-8323
Fax Number
803-434-8326
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
552 (South Carolina)
Definition
Definition to come...
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