AARON SAMUEL PROVISOR

SUMTER, SC
NPI1760709562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: SC  35692)
Additional Taxonomies208M00000X Hospitalist
(Licence: SC  MD35692)
Enumeration Date2010-05-03
Last Update Date2019-01-03
Business Address
AARON SAMUEL PROVISOR M.D.
129 NORTH WASHINGTON STREET
SUMTER, SC 29150
Phone number: 803-774-9000
Mailing Address
AARON SAMUEL PROVISOR M.D.
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320