Individual
DR. RADIANCE E. VAFAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
346 WEST BUTLER STREET, LEXINGTON PEDIATRIC PRACTICE, LEXINGTON, SC 29072
(803) 359-8855
(803) 359-1257
Mailing address
346 WEST BUTLER STREET, LEXINGTON PEDIATRIC PRACTICE, LEXINGTON, SC 29072
(803) 359-8855
(803) 359-1257
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25532
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
255324
—
SC
Enumeration date
03/27/2006
Last updated
12/02/2008
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