Individual
ALYSSA MARIE DEGNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3000 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3831
(803) 226-0343
(803) 226-0584
Mailing address
3000 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3831
(803) 226-0343
(803) 226-0584
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0689
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110238017
RAILROAD MEDICARE
SC
05
—
T00040
—
SC
Enumeration date
08/24/2005
Last updated
02/07/2023
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