Individual
PATRICIA O'DIERNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
834 W MEETING ST STE C, LANCASTER, SC 29720-6220
(803) 285-2700
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
84545
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
10/23/2020
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