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Individual

BEENA KOVOOR VARUGHESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
40 PINNACLE PKWY, SUITE 212, ELGIN, SC 29045-8390
(803) 424-5161
(803) 424-5795
Mailing address
40 PINNACLE PKWY, SUITE 212, ELGIN, SC 29045-8390
(803) 424-5161
(803) 424-5795

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23066
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
230663
SC
Enumeration date
02/21/2007
Last updated
04/08/2016
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