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Individual

DR. IOANNIS M LIVADITIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1315 ROBERTS ST, CAMDEN, SC 29020-3737
(803) 432-4311
(803) 438-4391
Mailing address
3533 S ALAMEDA ST, CORPUS CHRISTI, TX 78411-1721

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39388
SC
208M00000X
Hospitalist Physician
39388
SC

Other

Enumeration date
07/30/2012
Last updated
08/24/2017
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