Organization
QUANTUM MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIT SHAH (SOLE PROPRIETOR)
(704) 763-5117
Entity
Organization
Contact information
Practice address
1040 EDGEWATER CORPORATE PKWY, INDIAN LAND, SC 29707-4514
(704) 763-5117
Mailing address
1040 EDGEWATER CORPORATE PKWY, INDIAN LAND, SC 29707-4514
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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