Individual
JACQUELINE LEONE RAZZAGHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 GROVE RD, BALCONY SUITE 5, GREENVILLE, SC 29605-4210
(864) 455-7895
Mailing address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-7895
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
51245
SC
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MMD.51245
SC
Other
Enumeration date
04/24/2017
Last updated
10/03/2023
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