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Organization

PRAVIN R PATEL MD.

Active
Other names
CLIO MEDICAL CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PRAVIN R PATEL MD (PHYSICIAN)
(843) 586-2292
Entity
Organization

Contact information

Practice address
200 MAIN ST, CLIO, SC 29525
(843) 586-2292
Mailing address
200 MAIN ST, CLIO, SC 29525
(843) 586-2292

Taxonomy

Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
113139
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP3103
SC
Enumeration date
02/08/2007
Last updated
05/02/2013
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