Individual
KATALINA ROMERO FUNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3495 IRON HORSE RD, LADSON, SC 29456-4319
(843) 820-3453
(843) 594-5405
Mailing address
3495 IRON HORSE RD, LADSON, SC 29456-4319
(843) 820-3453
(843) 594-5405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL38288
SC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
38288
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382883
—
SC
Enumeration date
06/08/2015
Last updated
01/31/2023
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