Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LAURICE DOMINICK INGRAM, DMSC, PA-C
ActiveDR. LAURICE DOMINICK INGRAM, DMSC, PA-C is a Physician Assistant healthcare provider located in RICHBURG, South Carolina. NPI 1932745999 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RICHBURG, SC
Registration Details
- NPI Number
- 1932745999
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 25, 2019 (6.7170896048873 yrs)
- Last Updated
- Dec 28, 2022
- License
-
3378 (SC)
Practice Information
- Address
-
4994 MORRISON RDRICHBURG, SC, 297299072Browse SC providers · Browse ZIP 29729
- Phone
- 8037896106
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.