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Organization
NEW HAVEN MEDICAL SERVICES, P.A.
Active
Organization
NEW HAVEN MEDICAL SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER KENNEDY KWOFIE M.D. (PHYSICIAN OWNER)
(864) 885-2000
Entity
Organization
Contact information
Practice address
115 EAGLES NEST DR, SUITE B, SENECA, SC 29678-2762
(864) 885-2000
(864) 885-1004
Mailing address
115 EAGLES NEST DR, SUITE B, SENECA, SC 29678-2762
(864) 885-2000
(864) 885-1004
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4100
—
SC
Enumeration date
05/24/2006
Last updated
08/22/2020
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