Impact Physician Group, South Carolina LLC
NPI #1215521752 in Elgin, South Carolina
Provider Information
- NPI Number
- 1215521752
- Entity Type
- Organization
- Organization Name
- Impact Physician Group, South Carolina LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Feb 25, 2021
- Last Updated
- Dec 19, 2022
Practice Location
- Address
- 20 PINNACLE PKWY
- City
- Elgin
- State
- South Carolina
- ZIP Code
- 29045-8389
- Phone
- (803) 438-8890
Authorized Official
- Name
- PAUL MILLER
- Title
- CEO
- Phone
- (678) 967-5599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Internal Medicine |
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