Organization
IES SOUTH CAROLINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NESTOR ZENAROSA MD (OWNER)
(469) 420-5527
Entity
Organization
Contact information
Practice address
1304 W BOBO NEWSOM HWY, HARTSVILLE, SC 29550-4710
(843) 339-2100
Mailing address
PO BOX 3320, INDIANAPOLIS, IN 46206-3320
(469) 420-5527
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
08/30/2023
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