# ISELECTMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447892575
- **Authorized official:** MICHAEL P IAQUINTA (PRESIDENT)
- **Authorized official phone:** (843) 785-3006

## Contact information

- **Practice address:** 19 BOW CIR, HILTON HEAD, SC 29928-2300
- **Practice address phone:** (877) 775-3006
- **Mailing address:** 19 BOW CIR, HILTON HEAD, SC 29928-2300
- **Mailing address phone:** (877) 775-3006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2019
- **Last updated:** 08/02/2022