Individual
NAGASUMANTH VEMULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 NELSON BLVD, KINGSTREE, SC 29556-4027
(843) 355-8888
(843) 355-9994
Mailing address
PO BOX 568, KINGSTREE, SC 29556-0568
(843) 355-8888
(843) 355-9994
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31170
SC
Other
Enumeration date
10/10/2008
Last updated
01/27/2011
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