Provider Demographics
NPI:1407435878
Name:DORAN, ADDISON PAIGE (MD)
Entity type:Individual
Prefix:
First Name:ADDISON
Middle Name:PAIGE
Last Name:DORAN
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 1:4311 HARD SCRABBLE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-9422
Mailing Address - Country:US
Mailing Address - Phone:803-434-7870
Mailing Address - Fax:
Practice Address - Street 1:4311 HARD SCRABBLE RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-9422
Practice Address - Country:US
Practice Address - Phone:803-434-7870
Practice Address - Fax:803-434-3340
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-05
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC95406207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology