Organization
INDEPENDENCE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HSIAO SORIANO MD (OWNER/SOLE MEMBER)
(803) 556-5341
Entity
Organization
Contact information
Practice address
2260 VISTA RD, FORT MILL, SC 29708
(803) 556-5341
(803) 784-7994
Mailing address
6650 RIVERS AVE STE 100, NORTH CHARLESTON, SC 29406-4809
(803) 556-5341
(803) 784-7994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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