Individual
SONA PANCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2376 CYPRESS CIR STE 300, CONWAY, SC 29526-8995
(843) 353-3460
(843) 353-3461
Mailing address
210 VILLAGE CENTER BLVD STE 140, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
(843) 353-3461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
363A00000X
PA
Other
Enumeration date
03/21/2007
Last updated
07/20/2022
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