Organization
PRIVATE PHYSICIAN GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE L. FERRARA DO (OWNER)
(516) 590-4475
Entity
Organization
Contact information
Practice address
1698 HIGHWAY 160 W STE 200, FORT MILL, SC 29708-8034
(516) 590-4475
(803) 267-8229
Mailing address
22076 PRESWICK DR, FORT MILL, SC 29707-6202
(516) 590-4475
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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