Komba, Sia

Komba, Sia is an individual health care provider with primary practice located at 3 Richland Medical Park Dr Ste 310 , Columbia SC 29203-6862. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Komba, Sia can be contacted via phone (803) 434-8323.

Contact Information

Primary practice address
3 Richland Medical Park Dr Ste 310 Columbia SC 29203-6862
Phone: (803) 434-8323
Fax: (803) 434-8326
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 21422 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 21422 South Carolina

Profile Details

NPI number 1518587807
LBN Legal business name Komba, Sia
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2020
Last updated Oct 4th, 2021 - about 4 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 1518587807 NPPES
South Carolina MEDICAID NP7807

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