COLIN SERREDSZUM
NPI 1073387122
Student in an Organized Health Care Education/Training Program in Columbia, SC

Active since November 09, 2023
1050 SOUTHERN DR, COLUMBIA, SC 29201(065) 287-4558 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Colin Serredszum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLIN SERREDSZUM (NPI 1073387122) is an individual student in an organized health care education/training program in Columbia, South Carolina and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1073387122
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCOLIN SERREDSZUM
Location Address1050 SOUTHERN DRColumbia, SC 29201-5627
Mailing Address1050 Southern DrColumbia, SC 29201-5627
Sole ProprietorNo
Enumeration DateNovember 9, 2023
NPPES CertifiedNovember 9, 2023
NPI 1073387122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition

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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1050 SOUTHERN DR, Columbia, SC 29201

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist/Technologist (Athletic Trainer)
1050 SOUTHERN DR, APT 1107A
COLUMBIA, SC 29201
Student in an Organized Health Care Education/Training Program
1050 SOUTHERN DR
COLUMBIA, SC 29201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colin Serredszum's NPI number?

The NPI number for Colin Serredszum is 1073387122. It was assigned to this individual provider in the NPPES registry on November 9, 2023.

Where is Colin Serredszum located?

Colin Serredszum practices at 1050 Southern Dr, Columbia, SC 29201. The listed phone number is (065) 287-4558.

What is Colin Serredszum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Colin Serredszum was last updated on November 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.