Dr STEPHAINE PHILLIPS AMBROSE is a female medical professional, specializing in Pediatric Medicine. She graduated in 2011.
PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
7 RICHLAND MEDICAL PARK DR
SUITE 203
COLUMBIA
SC
292036863
Tel: 8035455017
| Npi | 1639466360 |
| Pac Id | 6608097274 |
| Professional Enrollment Id | I20171219002835 |
| Last Name | AMBROSE |
| First Name | STEPHAINE |
| Middle Name | PHILLIPS |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Secondary Specialty 1 | HEMATOLOGY/ONCOLOGY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | HEMATOLOGY/ONCOLOGY |
| Organization Legal Name | PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP |
| Group Practice Pac Id | 5991099707 |
| Number Of Group Practice Members | 678 |
| Line 1 Street Address | 7 RICHLAND MEDICAL PARK DR |
| Line 2 Street Address | SUITE 203 |
| Marker Of Address Line 2 Suppression | |
| City | COLUMBIA |
| State | SC |
| Zip Code | 292036863 |
| Phone Number | 8035455017 |
| Hospital Affiliation Ccn 1 | 420018 |
| Hospital Affiliation Lbn 1 | PALMETTO HEALTH RICHLAND |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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