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Individual

DIANA D CLEMOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2000 E GREENVILLE ST, SUITE 3700, ANDERSON, SC 29621-1580
(864) 512-1475
(864) 512-1930
Mailing address
2000 E GREENVILLE ST, SUITE 3700, ANDERSON, SC 29621-1580
(864) 512-1475
(864) 512-1930

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26919
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269195
SC
Enumeration date
03/27/2007
Last updated
10/25/2007
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