Individual
GERMINE WAHID ALFONSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1801 SUNSET DR, COLUMBIA, SC 29203-6803
(803) 434-4153
Mailing address
1801 SUNSET DR, COLUMBIA, SC 29203-6803
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL91489
SC
Other
Enumeration date
03/27/2024
Last updated
07/31/2024
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