KASIM LENNOX MIRZA
Individual Provider (NPI-1)
Active
Colon & Rectal Surgery
Provider Information
- NPI Number
1932549730- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1333 TAYLOR ST STE 5F, COLUMBIA, SC, 292012951
- Phone
- (803) 748-9966
- Fax
- (803) 748-7174
Specialties & Taxonomies
Colon & Rectal Surgery
Primary License: SC #88683