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1558674812
TRACY DEBOLT RIDGILL
SUMTER, SC
NPI
1558674812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 32777)
Enumeration Date
2010-07-15
Last Update Date
2019-07-29
Business Address
TRACY DEBOLT RIDGILL MD
649 W WESMARK BLVD
SUMTER, SC 29150-1900
Phone number: 803-469-7950
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Mailing Address
TRACY DEBOLT RIDGILL MD
649 W WESMARK BLVD
SUMTER, SC 29150-1900
Phone number: 803-469-7950
Copy
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