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Organization
DIRECT ACCESS MD, LLC
Active
Organization
DIRECT ACCESS MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY R CIANCIOLO MD (MEDICAL DIRECTOR)
(864) 965-9150
Entity
Organization
Contact information
Practice address
803 N FANT ST STE 2A, ANDERSON, SC 29621-5718
(864) 965-9150
(864) 965-9654
Mailing address
803 N FANT ST STE 2A, ANDERSON, SC 29621-5718
(864) 965-9150
(864) 965-9654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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