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Individual

SHERILYN BERMUDEZ DIOMAMPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2000 E GREENVILLE ST, SUITE 5130, ANDERSON, SC 29621-1580
(864) 512-4590
(864) 512-4595
Mailing address
PO BOX 100147, COLUMBIA, SC 29202-3147
(864) 512-4590
(864) 512-4595

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
40092
SC
207RR0500X
Rheumatology Physician
57.020115
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
400925
SC
Enumeration date
10/29/2012
Last updated
03/06/2017
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