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Dr. Divino D'alessio JR., MD
Student in an Organized Health Care Education/Training Program in Conway, South Carolina
NPI 1417691361

Divino D'alessio JR. is a Student in an Organized Health Care Education/Training Program based in Conway, SC. Divino D'alessio JR. practices in Conway, SC and has the professional credentials of MD. The NPI Number for Divino D'alessio JR. is 1417691361 and holds a License No. (South Carolina).

The current practice location address for Divino D'alessio JR. is 300 Singleton Ridge Rd, Conway, SC and can be reached out via phone at 843-347-8134.

Location: 300 Singleton Ridge Rd, Conway, SC, 29526-9142
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417691361
Provider Name
Divino D'alessio JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 Singleton Ridge Rd, Conway, SC, 29526-9142
Phone Number
843-347-8134
Fax Number
Provider Enumeration Date
04/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Singleton Ridge Rd
City
Conway
State
South Carolina
Zip
29526-9142
Phone Number
843-347-8134
Fax Number
person
Provider Business Mailing Address Details
Address
300 Singleton Ridge Rd
City
Conway
State
South Carolina
Zip
29526-9142
Phone Number
843-347-8134
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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