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Individual

DR. RAJESWARI JASTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
101 E WOOD ST STE 401, SPARTANBURG, SC 29303-3040
(864) 560-6654
(864) 560-7353
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
90814
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
908147
SC
01
SCR5565019
MEDICARE PIN
SC
01
SCR5569068
MEDICARE PIN
SC
Enumeration date
04/01/2020
Last updated
01/03/2024
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