Individual
SHAWN PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3209 COLONIAL DR, COLUMBIA, SC 29203-6930
(803) 434-2420
Mailing address
3209 COLONIAL DR, COLUMBIA, SC 29203-6930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL87582
SC
Other
Enumeration date
03/30/2022
Last updated
07/08/2022
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