Organization
ALL SEASONS MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY L. PHILLIPS (PRESIDENT)
(803) 309-1275
Entity
Organization
Contact information
Practice address
7142 WOODROW ST, IRMO, SC 29063-2832
(803) 929-7784
(803) 929-7834
Mailing address
PO BOX 3635, IRMO, SC 29063-4018
(803) 929-7784
(803) 929-7834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
04/23/2014
Last updated
04/26/2014
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