Individual
DR. PAMELA WENGER YANOVIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3907 S HIGHWAY 14, GREENVILLE, SC 29615-6138
(864) 522-1300
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38587
SC
207R00000X
Internal Medicine Physician
MD036442E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
08/08/2012
Last updated
10/14/2015
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