Organization
OCC DOC OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REGINA A ROMAN D.O. (OWNER PHYSICIAN)
(843) 347-5752
Entity
Organization
Contact information
Practice address
154 WACCAMAW MEDICAL PARK CT # A, CONWAY, SC 29526-8965
(843) 347-5752
Mailing address
154 WACCAMAW MEDICAL PARK CT # A, CONWAY, SC 29526-8965
(843) 347-5752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0390
SC
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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