Individual
DR. ARWEN BEATRICE LONG DECLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
701 GROVE RD FL 1, GREENVILLE, SC 29605
(864) 455-7899
(864) 455-5474
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6308
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
51957
SC
Other
Enumeration date
04/21/2010
Last updated
08/29/2018
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