Organization
SOUTH NORTH MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENSE TESSEMA DURESSO (OWNER)
(412) 273-0996
Entity
Organization
Contact information
Practice address
1 THAMES VLY, IRMO, SC 29063-2469
(412) 273-0996
Mailing address
1 THAMES VLY, IRMO, SC 29063-2469
(412) 273-0996
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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