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Individual

SYLVIA GOODMAN IWENOFU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
118 RIVER BRIDGE LN, LEXINGTON, SC 29073-9779
(843) 861-4342
Mailing address
212 N WARREN ST, TIMMONSVILLE, SC 29161-1446

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1913
SC

Other

Enumeration date
04/03/2013
Last updated
06/28/2022
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