Organization
DN MEDICAL CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMODHAR NERELLA MD (OWNER)
(864) 940-8482
Entity
Organization
Contact information
Practice address
1 SPRING BACK WAY, ANDERSON, SC 29621-2676
(864) 716-2600
(205) 262-8658
Mailing address
119 CHARPING LN, ANDERSON, SC 29621-2565
(864) 940-8482
(408) 827-9211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27041
STATE LICENSE
—
Enumeration date
09/18/2020
Last updated
09/18/2020
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