Individual
DR. SANJAY KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
461 SPRUCE ST, WALTERBORO, SC 29488-2766
(843) 549-4335
(843) 549-6502
Mailing address
461 SPRUCE ST, WALTERBORO, SC 29488-2766
(843) 549-4335
(843) 549-6502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
164379
SC
207RN0300X
Nephrology Physician
16437
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2719
—
SC
Enumeration date
09/22/2006
Last updated
04/24/2018
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