Individual
DR. PRAVIN R PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MAIN ST, CLIO, SC 29525
(843) 586-2292
Mailing address
PO BOX 417, CLIO, SC 29525
(843) 586-2292
(843) 586-2664
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11313
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11313-9
—
SC
05
—
428949A
—
NC
05
—
428949C
—
NC
05
—
8906247
—
NC
05
—
RHC120
—
SC
Enumeration date
06/22/2006
Last updated
07/09/2009
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