Individual
KATHRYN YOVANOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
145 PARK CENTRAL DR STE 100, COLUMBIA, SC 29203-6469
(803) 736-3277
Mailing address
12427 CANOLDER ST, RALEIGH, NC 27614-8822
(919) 622-0916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5084
SC
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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