Individual
MRS. MARCIE M ALISANGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
146 E HOSPITAL DR STE 550, WEST COLUMBIA, SC 29169-4843
(803) 936-7140
(803) 936-7412
Mailing address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-8326
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
63756
GA
207RR0500X
Rheumatology Physician
Primary
063756
GA
207RR0500X
Rheumatology Physician
92696
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
063756
GEORGIA COMPOSITE BOARD
GA
Enumeration date
08/29/2007
Last updated
03/21/2025
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