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Organization

PIEDMONT MEDICAL OF SC LLC

Active
Parent organization
PIEDMONT MEDICAL OF SC, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
PIEDMONT MEDICAL OF SC, LLC
Authorized official
DR. KHALID N. SOHERWARDY MD (OWNER)
(864) 489-2588
Entity
Organization

Contact information

Practice address
317 N LOGAN ST, GAFFNEY, SC 29341-2353
(864) 489-2588
Mailing address
PO BOX 1599, GAFFNEY, SC 29342-1599
(864) 489-2588

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19156
SC

Other

Enumeration date
07/25/2012
Last updated
10/17/2014
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