Individual
JUANLY NEFATLI RODRIGUEZ VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
625 W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 469-7950
Mailing address
625 W WESMARK BLVD, SUMTER, SC 29150-1900
(803) 469-7950
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
87336
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/05/2017
Last updated
11/03/2022
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