Provider Demographics
NPI:1962851089
Name:ROUZA, ANNIE DANNA MERCIER (MD)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:DANNA MERCIER
Last Name:ROUZA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1801 SUNSET DRIVE
Mailing Address - Street 2:WOMEN'S CENTER - OB/GYN
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203
Mailing Address - Country:US
Mailing Address - Phone:803-434-4127
Mailing Address - Fax:803-434-4155
Practice Address - Street 1:1801 SUNSET DRIVE
Practice Address - Street 2:WOMEN'S CENTER - OB/GYN
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:803-434-4127
Practice Address - Fax:803-434-4155
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL39484207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology