Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 23931 | SC |
N | 111NI0900X | Internist | 23931 | SC |
Y | 207RA0201X | Internist - Allergy & Immunology | 23931 | SC |
NPI | 1255308219 |
---|---|
Provider Name | Dr. David Joseph Amrol |
First Address | Atlanta, GA 30374-3904 |
Second Address | Columbia, SC 29203-6876 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 02/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02968138 | (05) | NY |
H84945 | (02) | SC |
T80793 | (05) | SC |