Organization
PEE DEE GASTROENTEROLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANVER RAZICK M.D. (PRESIDENT)
(843) 662-7828
Entity
Organization
Contact information
Practice address
619 S DARGAN ST, FLORENCE, SC 29506-2555
(843) 662-7828
(843) 665-1303
Mailing address
619 S DARGAN ST, FLORENCE, SC 29506-2555
(843) 662-7828
(843) 665-1303
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC0192
—
SC
Enumeration date
05/05/2006
Last updated
08/22/2020
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