Individual
RENNETTE NICOLE ZAVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-1576
(864) 560-1590
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
92873
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
928731
—
SC
Enumeration date
03/25/2019
Last updated
12/06/2024
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