Individual
MR. WAJDI ALI DBOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3424 CLEMSON BLVD, ANDERSON, SC 29621-1357
(864) 261-4350
(864) 261-4097
Mailing address
3424 CLEMSON BLVD, ANDERSON, SC 29621-1357
(864) 261-4350
(864) 261-4097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18923
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LL1282
—
SC
Enumeration date
04/18/2006
Last updated
03/29/2022
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