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Individual

PETER KENNEDY KWOFIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
115 EAGLES NEST DR, SUITE B, SENECA, SC 29678-2762
(864) 885-2000
(864) 885-1004
Mailing address
115 EAGLES NEST DR STE B, SENECA, SC 29678-2762
(864) 885-2000

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
21992
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202232444
SC
05
GP4100
SC
Enumeration date
12/02/2005
Last updated
02/18/2010
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