Individual
DR. MANUEL HIPOLITO ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6439 GARNERS FERRY RD, DVAMC (111), COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
6439 GARNERS FERRY RD, 111E, COLUMBIA, SC 29209-1638
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101040783
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0101040783
VA
207RP1001X
Pulmonary Disease Physician
0101040783
VA
Other
Enumeration date
02/03/2006
Last updated
01/18/2016
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