Individual
VINAY JAGADEESHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 CASHUA FERRY RD, DARLINGTON, SC 29532-8488
(843) 391-2011
(843) 391-2021
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 391-2011
(843) 391-2021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33118
SC
Other
Enumeration date
05/20/2007
Last updated
02/03/2021
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