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Individual

SAMY R ISKANDAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2 MAPLE TREE CT STE B, GREENVILLE, SC 29615-4069
(864) 516-1190
(864) 516-1191
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(864) 516-1190
(864) 516-1191

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
27596
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2027596
SC
05
275963
SC
Enumeration date
07/03/2006
Last updated
07/21/2022
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