Healthcare Provider Details

I. General information

NPI: 1285475426
Provider Name (Legal Business Name): DEVA CHRISTINE TORRALBA TOJONG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2024
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 E GREENVILLE ST STE 3700
ANDERSON SC
29621-1725
US

IV. Provider business mailing address

2000 E GREENVILLE ST STE 3700
ANDERSON SC
29621-1725
US

V. Phone/Fax

Practice location:
  • Phone: 864-512-1916
  • Fax: 864-512-3702
Mailing address:
  • Phone: 864-512-1916
  • Fax: 864-512-3702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number97486
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: