MICAH DEBENEDETTO

COLUMBIA, SC
NPI1508506403
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: SC  LL87560)
Enumeration Date2022-03-30
Last Update Date2022-07-08
Business Address
MICAH DEBENEDETTO
2 MEDICAL PARK RD
COLUMBIA, SC 29203-6808
Phone number: 803-545-5321
Mailing Address
MICAH DEBENEDETTO
2 MEDICAL PARK RD
COLUMBIA, SC 29203-6808
Phone number:
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