Individual
DR. DIANNA D RAVENELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR STE 620, COLUMBIA, SC 29203-6845
(803) 779-6776
(803) 779-7346
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28087
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280877
—
SC
Enumeration date
09/08/2005
Last updated
09/22/2021
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