Mrelashvili, Davit

Mrelashvili, Davit is an individual health care provider with primary practice located at 8 Richland Medical Park Dr Ste 420 , Columbia SC 29203-8004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Mrelashvili, Davit can be contacted via phone (803) 545-6050.

Contact Information

Primary practice address
8 Richland Medical Park Dr Ste 420 Columbia SC 29203-8004
Phone: (803) 545-6050
Fax: (803) 545-6051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 30863 South Carolina

Profile Details

NPI number 1760539555
LBN Legal business name Mrelashvili, Davit
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Sep 25th, 2018 - about 7 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 1760539555 NPPES
South Carolina Other AA30189482 MEDICARE-- PTAN
South Carolina Other GP5417 MEDICARE-- PTAN
South Carolina MEDICAID 308633 MEDICARE-- PTAN

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