Healthcare Provider Details

I. General information

NPI: 1083529382
Provider Name (Legal Business Name): TRISKELION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 LAWSON ST STE D
FLORENCE SC
29501-3417
US

IV. Provider business mailing address

121 LAWSON ST STE D
FLORENCE SC
29501-3417
US

V. Phone/Fax

Practice location:
  • Phone: 843-806-2247
  • Fax: 864-405-0675
Mailing address:
  • Phone: 843-806-2247
  • Fax: 864-405-0675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: ARAN COLLEEN INGHAM
Title or Position: OWNER
Credential: FNP
Phone: 508-454-1822