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Individual

ANITA PATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2759 S HIGHWAY 14, GREER, SC 29650
(864) 560-1915
(864) 560-1925
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34170
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
341703
SC
01
AA79353365
MEDICARE PIN
SC
01
AA79357628
MEDICARE PIN
SC
Enumeration date
01/31/2006
Last updated
05/24/2018
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