Organization
MEDICAL CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHREEDHAR M NAGNUR MD (CEO)
(803) 642-0111
Entity
Organization
Contact information
Practice address
447 BAINBRIDGE DR, AIKEN, SC 29803-3417
(803) 642-0111
(803) 642-0111
Mailing address
447 BAINBRIDGE DR, AIKEN, SC 29803-3417
(803) 642-0111
(803) 642-0111
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
22190
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4730
—
SC
Enumeration date
07/06/2006
Last updated
07/01/2008
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