Individual
ALIX POMMERENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 E CHEVES ST STE 202, FLORENCE, SC 29506-2616
(843) 777-7000
(843) 777-7005
Mailing address
506 E CHEVES ST STE 202, FLORENCE, SC 29506-2616
(843) 777-7000
(843) 777-7005
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD84012
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
840120
—
SC
Enumeration date
04/06/2016
Last updated
04/13/2021
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