Individual
DR. SHERRY JANE FAMORCA VIDUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 SPRINGHALL DR STE A, GOOSE CREEK, SC 29445-5335
(843) 973-8503
(843) 990-5068
Mailing address
PO BOX 13955, CHARLESTON, SC 29422-3955
(843) 779-6444
(843) 779-6438
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19583
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195835
—
SC
Enumeration date
04/21/2006
Last updated
07/10/2019
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