Individual
ATIENO ALICE R. RAGWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
109 OMNI DR STE B, SENECA, SC 29672-9448
(864) 888-4222
(864) 888-0023
Mailing address
PO BOX 601082, CHARLOTTE, NC 28260-1082
(864) 885-7989
(864) 885-7867
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31617
SC
2080A0000X
Pediatric Adolescent Medicine Physician
044869
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000811841C
—
GA
05
—
GP4697
—
SC
Enumeration date
03/21/2006
Last updated
07/21/2022
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