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Organization
INGENIOUS MEDICAL PRACTICES, LLC
Active
Organization
INGENIOUS MEDICAL PRACTICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY YOUNG FNP-C, DNP (DIRECTOR)
(843) 879-2329
Entity
Organization
Contact information
Practice address
207 S MAIN ST, SUMMERVILLE, SC 29483-6096
(843) 879-2329
Mailing address
207 S MAIN ST, SUMMERVILLE, SC 29483-6096
(843) 879-2329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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