Individual
GAJENDRA BAFNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1653 E MAIN ST, EASLEY, SC 29640-3791
(864) 631-7371
Mailing address
1653 E MAIN ST, EASLEY, SC 29640-3791
(864) 631-7371
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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