Organization
PREFERRED HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUKUDZO D MAZAIWANA M.D. (PRESIDENT)
(866) 757-7333
Entity
Organization
Contact information
Practice address
120 SHOAL CREEK CIR, LEXINGTON, SC 29072-7262
(866) 757-7333
(800) 720-5171
Mailing address
120 SHOAL CREEK CIR, LEXINGTON, SC 29072-7262
(866) 757-7333
(800) 720-5171
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
225X00000X
Occupational Therapist
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
11/23/2019
Last updated
11/30/2020
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