Individual
EMILY FOREMAN INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR STE 530, COLUMBIA, SC 29203-6870
(803) 434-4603
(803) 434-7983
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
88608
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2016
Last updated
06/06/2023
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