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Individual

DR. NIVEDITA S BIJOOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
215 BATESVILLE RD, SUITE B, SIMPSONVILLE, SC 29681-4816
(864) 627-0444
(864) 627-0555
Mailing address
PO BOX 12308, GREENVILLE, SC 29612-0308
(864) 327-0444
(864) 327-0555

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
B24857
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
192950
MEDCOST
01
20051866
SELECT HEALTH
05
248574
SC
05
5903806
NC
01
7373610
AETNA
Enumeration date
03/07/2006
Last updated
02/11/2009
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