Most Relevant Information
Provider Data
| NPI Number: | 1003822693 |
| Provider Name: | BRENDA LIGON MPA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | A321 |
Most Important Dates
| Enumeration Date: | 08/01/2006 |
| Last Updated: | 10/11/2007 |
Provider Practice Location
2001 LAUREL ST
COLUMBIA
SC
292041018
Practice Location Phone/Fax
| Phone: | 8032543278 |
| Fax: | 8032552715 |
Provider Mailing Location
PO BOX 99
COLUMBIA
SC
292020099
Provider Mailing Phone/Fax
| Phone: | 8032543278 |
| Fax: | 8032552715 |