Organization
NEW HAVEN MEDICAL SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER KENNEDY KWOFIE M.D. (PHYSICIAN OWNER)
(864) 885-2000
Entity
Organization
Contact information
Practice address
115 EAGLES NEST DR, SUITE B, SENECA, SC 29678-2762
(864) 885-2000
(864) 885-1004
Mailing address
115 EAGLES NEST DR, SUITE B, SENECA, SC 29678-2762
(864) 885-2000
(864) 885-1004
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4100
—
SC
Enumeration date
05/24/2006
Last updated
08/22/2020
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