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Contact Information

JESSICA A KOLLER, ATC
2 MEDICAL PARK RD
COLUMBIA, SC29203-6808
 Phone: 203-470-1558
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JESSICA A KOLLER · (Female)

NPI Number 1992042360
Status Active
Credentials ATC
Entity Individual
Enumeration date 01/05/2013
Last updated 01/05/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 1339
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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