| Occ Doc Of South Carolina | |
|
154 Waccamaw Medical Park Ct # A Conway SC 29526-8965 | |
| (843) 347-5752 | |
| Not Available |
| Full Name | Occ Doc Of South Carolina |
|---|---|
| Speciality | Internal Medicine |
| Location | 154 Waccamaw Medical Park Ct # A, Conway, South Carolina |
| Authorized Official Name and Position | Regina A Roman (OWNER PHYSICIAN) |
| Authorized Official Contact | 8433475752 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Occ Doc Of South Carolina 154 Waccamaw Medical Park Ct # A Conway SC 29526-8965 Ph: (843) 347-5752 | Occ Doc Of South Carolina 154 Waccamaw Medical Park Ct # A Conway SC 29526-8965 Ph: (843) 347-5752 |
| NPI Number | 1316089485 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316089485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0390 (South Carolina) | Primary |
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