Individual
DAVID ISMAEL ESTEPHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PO BOX 100551, FLORENCE, SC 29502-0551
(251) 802-0090
Mailing address
150 S. IRBY ST, APT 406, FLORENCE, SC 29501
(251) 802-0090
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
51463
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2014
Last updated
03/17/2018
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