| Pvd Internal Medicine Associates Llc | |
|
3000 Woodside Executive Ct Aiken SC 29803-3831 | |
| (803) 226-0343 | |
| (803) 226-0584 |
| Full Name | Pvd Internal Medicine Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3000 Woodside Executive Ct, Aiken, South Carolina |
| Authorized Official Name and Position | Alyssa M. Degnan (PHYSICIAN / OWNER) |
| Authorized Official Contact | 8032260343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pvd Internal Medicine Associates Llc 3000 Woodside Executive Ct Aiken SC 29803-3831 Ph: (803) 226-0343 | Pvd Internal Medicine Associates Llc 3000 Woodside Executive Ct Aiken SC 29803-3831 Ph: (803) 226-0343 |
| NPI Number | 1962995100 |
|---|---|
| Provider Enumeration Date | 06/12/2018 |
| Last Update Date | 02/08/2023 |
| Medicare PECOS PAC ID | 7517216971 |
|---|---|
| Medicare Enrollment ID | O20180817000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962995100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | DO689 (South Carolina) | Primary |
| Provider Name | Alyssa M Degnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447243654 PECOS PAC ID: 1254326713 Enrollment ID: I20040415000879 |
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