Individual
SHREYA RAVULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1765
Mailing address
3333 SPRINGHILL DR, NORTH LITTLE ROCK, AR 72117-2922
(501) 202-3802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
87653
SC
Other
Enumeration date
04/10/2019
Last updated
01/12/2024
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