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Individual

JOSEPH BORROMEO VILLANUEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
649 W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 469-7500
(803) 469-7521
Mailing address
649 W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 469-7500
(803) 469-7521

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36537
SC

Other

Enumeration date
07/17/2011
Last updated
06/26/2014
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