JONATHAN DANIEL DIVEGLIA

COLUMBIA, SC
NPI1932916988
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085B0100X Radiology, Body Imaging
(Licence: SC  532208)
Enumeration Date2024-12-13
Last Update Date2024-12-13
Business Address
Mr. JONATHAN DANIEL DIVEGLIA
6439 GARNERS FERRY RD
COLUMBIA, SC 29209-1638
Phone number: 803-776-4000
Mailing Address
Mr. JONATHAN DANIEL DIVEGLIA
238 HIGH POINTE DR
BLYTHEWOOD, SC 29016-7608
Phone number: 603-312-5181