Individual
SANDRA E LUYINDULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
103 FAIRVIEW POINTE DR, FAIRVIEW FAMILY PRACTICE, SIMPSONVILLE, SC 29681-3223
(864) 967-4982
(864) 967-8465
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 455-9022
(864) 455-9016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38672
SC
Other
Enumeration date
06/12/2012
Last updated
11/10/2016
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