ALFRED NICHOLAS DEPACE III CP

PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP

Dr ALFRED NICHOLAS DEPACE III CP is a male medical professional, specializing in Psychologist, Clinical. He graduated in 2000.

Contact

PALMETTO HEALTH-UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP

1850 LAUREL ST
COLUMBIA
SC
292012627

Tel: 8032563400

ALFRED NICHOLAS DEPACE III CP Information

Npi 1982755054
Pac Id 4789672288
Professional Enrollment Id I20040504000495
Last Name DEPACE
First Name ALFRED
Middle Name NICHOLAS
Suffix III
Gender M
Credential CP
Medical School Name OTHER
Graduation Year 2000
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
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 1850 LAUREL ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City COLUMBIA
State SC
Zip Code 292012627
Phone Number 8032563400
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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