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Individual

DR. MANISH PRAFULLA PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
40 PINNACLE PKWY, SUITE 104, ELGIN, SC 29045-8390
(803) 424-8022
(803) 408-8501
Mailing address
40 PINNACLE PKWY, SUITE 104, ELGIN, SC 29045-8390
(803) 424-8022
(803) 408-8501

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
200200270
NC
208800000X
Urology Physician
Primary
TL38968
SC

Other

Enumeration date
09/22/2005
Last updated
07/07/2016
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