Individual
DR. STEPHANIE PHILLIPS AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7 RICHLAND MEDICAL PARK DR STE 7215, COLUMBIA, SC 29203-6863
(803) 434-3533
(803) 434-3094
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1502
SC
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
1502
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015021
—
SC
Enumeration date
07/01/2011
Last updated
11/15/2022
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