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Individual

DR. YASMIN DANIELLE DELIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
20 MEDICAL RIDGE DR, GREENVILLE, SC 29605-4267
(864) 522-5220
(864) 522-5296
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MB09091200
NJ
2080S0010X
Pediatric Sports Medicine Physician
Primary
87858
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
SC
Enumeration date
10/05/2009
Last updated
11/09/2022
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