Organization
INTERNAL MEDICINE SPECIALIST GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEOVYAAS SHARMA MD (OWNER)
(803) 416-3710
Entity
Organization
Contact information
Practice address
225 S HERLONG AVE, SUITE 230, ROCK HILL, SC 29732-2168
(803) 366-3900
(803) 366-1213
Mailing address
225 S HERLONG AVE, SUITE 230, ROCK HILL, SC 29732-2168
(803) 366-3900
(803) 366-1213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T79073
—
SC
Enumeration date
01/03/2020
Last updated
01/03/2020
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