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Organization

PRAVIN R PATEL MD.

Active
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Organization

PRAVIN R PATEL MD.

Active
Other names
CLIO MEDICAL CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PRAVIN R PATEL MD (PHYSICIAN)
(843) 586-2292
Entity
Organization

Contact information

Practice address
200 MAIN ST, CLIO, SC 29525
(843) 586-2292
Mailing address
200 MAIN ST, CLIO, SC 29525
(843) 586-2292

Taxonomy

Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
113139
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3103
—
SC
Enumeration date
02/08/2007
Last updated
05/02/2013
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