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Individual

VICTORIA ROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1702 FREEDOM BLVD, FLORENCE, SC 29505-6069
(843) 407-2030
Mailing address
220 GRACES WAY, COLUMBIA, SC 29229-1613
(803) 771-7506

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3337
SC
363A00000X
Physician Assistant

Other

Enumeration date
11/12/2019
Last updated
03/26/2026
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