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Individual

DR. SIBONOKUHLE TIZORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
703 N WHITE ST, LANCASTER, SC 29720-2174
(803) 285-2273
Mailing address
800 N WHITE ST, LANCASTER, SC 29720-2177
(803) 285-2273

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
32285
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP0365
SC
05
RHC013
SC
Enumeration date
06/11/2009
Last updated
10/02/2025
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