Individual
MR. JOHN CENAROSA PAGUNTALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
105 VINECREST CT # 510, GREENWOOD, SC 29646-8031
(864) 725-4016
(864) 725-5839
Mailing address
104 WELLS AVE, GREENWOOD, SC 29646-3837
(864) 725-4673
(864) 725-7424
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905
SC
Other
Enumeration date
08/13/2007
Last updated
01/06/2025
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