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1508506403
MICAH DEBENEDETTO
COLUMBIA, SC
NPI
1508506403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: SC LL87560)
Enumeration Date
2022-03-30
Last Update Date
2022-07-08
Business Address
MICAH DEBENEDETTO
2 MEDICAL PARK RD
COLUMBIA, SC 29203-6808
Phone number: 803-545-5321
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Mailing Address
MICAH DEBENEDETTO
2 MEDICAL PARK RD
COLUMBIA, SC 29203-6808
Phone number:
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