Individual
DR. ARDALAN AHMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
877 W FARIS RD, SUITE A, GREENVILLE, SC 29605-4289
(864) 455-9023
Mailing address
877 W FARIS RD, SUITE A, GREENVILLE, SC 29605-4289
(864) 455-9023
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL39990
SC
Other
Enumeration date
07/18/2016
Last updated
07/19/2016
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