Individual
SAUJANYA VADOOTHKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1405 MAIN ST, CONWAY, SC 29526-3568
(843) 488-7730
Mailing address
1405 MAIN ST, CONWAY, SC 29526-3568
(843) 488-7730
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD84691
SC
Other
Enumeration date
04/30/2013
Last updated
05/30/2023
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