Individual
DREWID PLYER POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
517 DOCTORS CT, CHESTER, SC 29706-8644
(803) 581-2800
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(803) 581-2800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1688
SC
Other
Enumeration date
10/06/2011
Last updated
05/09/2019
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