Ackerman, Mary Audrey

Ackerman, Mary Audrey is an individual health care provider with primary practice located at 166 Stoneridge Dr , Columbia SC 29210-8239. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Ackerman, Mary Audrey can be contacted via phone (803) 461-3000.

Contact Information

Primary practice address
166 Stoneridge Dr Columbia SC 29210-8239
Phone: (803) 461-3000
Fax: (803) 461-4910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 15864 South Carolina

Profile Details

NPI number 1912988536
LBN Legal business name Ackerman, Mary Audrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Sep 16th, 2007 - about 17 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 1912988536 NPPES
South Carolina MEDICAID 158643

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