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Individual

KIRU KOREA MENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
222 SOUTH HERLONG AVE., ROCK HILL, SC 29732
(803) 909-5937
Mailing address
1370 W D ST, NORTH WILKESBORO, NC 28659-3506
(803) 909-5937

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2007-00432
NC
207R00000X
Internal Medicine Physician
35877
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5907178
NC
05
N0043A
SC
Enumeration date
03/05/2007
Last updated
01/27/2016
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