OCC DOC OF SOUTH CAROLINA

CONWAY, SC
NPI1316089485
Entity TypeOrganization
Authorized ContactREGINA A ROMAN
Owner Physician
843-347-5752
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: SC  0390)
Enumeration Date2007-02-13
Last Update Date2020-08-22
Business Address
OCC DOC OF SOUTH CAROLINA
154 WACCAMAW MEDICAL PARK CT # A
CONWAY, SC 29526-8965
Phone number: 843-347-5752
Mailing Address
OCC DOC OF SOUTH CAROLINA
154 WACCAMAW MEDICAL PARK CT # A
CONWAY, SC 29526-8965
Phone number: 843-347-5752
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