ERICA LEE DOMOGAUER

LITTLE RIVER, SC
NPI1679036925
Former NameERICA LEE ROSENTHAL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  TL3218)
Enumeration Date2019-04-12
Last Update Date2023-03-07
Business Address
Mrs. ERICA LEE DOMOGAUER PA-C
3361 HIGHWAY 9 E
LITTLE RIVER, SC 29566-7826
Phone number: 843-497-5929
Mailing Address
Mrs. ERICA LEE DOMOGAUER PA-C
PO BOX 3439
NORTH MYRTLE BEACH, SC 29582-0439
Phone number: 843-839-6379
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