Individual
DAVINDERBIR S PANNU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 E CHEVES ST STE 301, FLORENCE, SC 29506-2615
(843) 777-7166
(843) 777-7167
Mailing address
506 EAST CHEVES STREET, SUITE 202, FLORENCE, SC 29506-2616
(352) 273-9450
(352) 265-1107
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40658
SC
207R00000X
Internal Medicine Physician
ME111605
FL
207R00000X
Internal Medicine Physician
TRN13805
FL
207RG0100X
Gastroenterology Physician
Primary
40658
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406581
—
SC
Enumeration date
05/29/2009
Last updated
07/21/2022
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