Pezzella, Andrea M

Pezzella, Andrea M is an individual health care provider with primary practice located at 115 Midlands Ct , West Columbia SC 29169-3456. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Pezzella, Andrea M can be contacted via phone (803) 457-7000.

Contact Information

Primary practice address
115 Midlands Ct West Columbia SC 29169-3456
Phone: (803) 457-7000
Fax: (803) 457-7001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 29701 South Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 204555 Massachusetts
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 29701 South Carolina

Profile Details

NPI number 1730157058
LBN Legal business name Pezzella, Andrea M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2006
Last updated Oct 10th, 2017 - about 8 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 1730157058 NPPES
Other 1009200 CIGNA HEALTH PLAN
Other 7099315 CIGNA HEALTH PLAN
Other AA3715 CIGNA HEALTH PLAN
Other J22633 CIGNA HEALTH PLAN
Other J22633 CIGNA HEALTH PLAN
Other 0120961 CIGNA HEALTH PLAN
Other 0700410 CIGNA HEALTH PLAN
MEDICAID 0120961 CIGNA HEALTH PLAN
Other 042472266 CIGNA HEALTH PLAN
Other A31235 CIGNA HEALTH PLAN
Other 042472266 CIGNA HEALTH PLAN
Other 37554 CIGNA HEALTH PLAN
Other J22633 CIGNA HEALTH PLAN
Other 042472266 CIGNA HEALTH PLAN
Other 160049837 CIGNA HEALTH PLAN
Other 45822 CIGNA HEALTH PLAN
Other 784225 CIGNA HEALTH PLAN
Other 042472266 CIGNA HEALTH PLAN

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