National Provider Identifier Database

THOMAS J CARZOLI MD PA
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

THOMAS J CARZOLI MD PA
1301 TAYLOR ST
SUITE 5K
COLUMBIA, SC29201-2942
Phone: 803-765-2090
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for THOMAS J CARZOLI MD PA

NPI Number 1417317264
Legal business name
LBN
THOMAS J CARZOLI MD PA
Authorized official TAMMY WILLARD - (PRACTICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 03/07/2016
Last updated 03/07/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 2580
  • SC Medicaid: LM0039

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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