# PVD INTERNAL MEDICINE ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1962995100
- **Authorized official:** ALYSSA M. DEGNAN DO (PHYSICIAN / OWNER)
- **Authorized official phone:** (803) 226-0343

## Contact information

- **Practice address:** 3000 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3831
- **Practice address phone:** (803) 226-0343
- **Practice address fax:** (803) 226-0584
- **Mailing address:** 3000 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3831
- **Mailing address phone:** (803) 226-0343
- **Mailing address fax:** (803) 226-0584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | DO689 | SC | Yes |

## Other

- **Enumeration date:** 06/12/2018
- **Last updated:** 02/08/2023