Individual
JANET L UTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
137 MIRACLE DRIVE, AIKEN, SC 29801
(803) 641-4874
(803) 641-0436
Mailing address
367 S. GULPH RD, ATT: IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(803) 641-4874
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
045133
GA
207RC0000X
Cardiovascular Disease Physician
Primary
52333
SC
Other
Enumeration date
01/12/2006
Last updated
06/01/2018
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