Individual provider · Type 1 NPI

Lydiah Fridah Maxmilliam Mpyisi, MD

Student in an Organized Health Care Education/Training Program · West Columbia, SC

NPI number 1679415244 Active

Practice location

145 Sunset Ct Fl 3
West Columbia, SC 29169-2466

Call (803) 739-3550 Map

Mailing address

1200 Cinnamon Hill Ln Apt 112
Columbia, MO 65201-8177

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679415244

Lydiah Fridah Maxmilliam Mpyisi, MD's National Provider Identifier is 1679415244, issued on Apr 6, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Columbia, SC. The record was last updated on Apr 6, 2026.