Individual
DR. SOLOMON AMEMASOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1325 SPRING ST, GREENWOOD, SC 29646-3860
(864) 725-4671
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
91299
SC
2085R0202X
Diagnostic Radiology Physician
Primary
OS021997
PA
2085R0202X
Diagnostic Radiology Physician
OT018664
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
912999
—
SC
Enumeration date
06/18/2018
Last updated
06/14/2024
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