# PRAVIN R PATEL MD.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CLIO MEDICAL CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679613525
- **Authorized official:** MR. PRAVIN R PATEL MD (PHYSICIAN)
- **Authorized official phone:** (843) 586-2292

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 05/02/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP3103 | — | SC |