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Individual

MARYANN JOSE TERZELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
211 BATESVILLE RD, SIMPSONVILLE, SC 29681-4816
(864) 272-0388
(864) 213-9237
Mailing address
525 VERDAE BLVD STE 200, GREENVILLE, SC 29607-4021
(864) 272-0388
(864) 213-9237

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA08565000
NJ
208000000X
Pediatrics Physician
Primary
35742
SC

Other

Enumeration date
09/15/2005
Last updated
02/14/2019
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