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Organization

PRIVATE PHYSICIAN GROUP LLC

Active
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Organization

PRIVATE PHYSICIAN GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CATHERINE L. FERRARA DO (OWNER)
(516) 590-4475
Entity
Organization

Contact information

Practice address
1698 HIGHWAY 160 W STE 200, FORT MILL, SC 29708-8034
(516) 590-4475
(803) 267-8229
Mailing address
22076 PRESWICK DR, FORT MILL, SC 29707-6202
(516) 590-4475

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
09/30/2021
Last updated
09/30/2021
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