Individual
MARVIN HEVENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5470 N. MAIN STREET, COWPENS, SC 29330
(864) 463-3286
(864) 463-9258
Mailing address
PO BOX 277827, ATLANTA, GA 30384-7827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7842
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078427
—
SC
Enumeration date
05/19/2006
Last updated
09/24/2008
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