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Individual

MRS. LORI ADAMS DOOZAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
701 GROVE RD FL 1, GREENVILLE, SC 29605-4210
(864) 455-7899
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110006167
VA
363A00000X
Physician Assistant
01267
WV
363A00000X
Physician Assistant
Primary
3566
SC
363A00000X
Physician Assistant
PA 9103555
FL

Other

Enumeration date
04/25/2007
Last updated
05/12/2021
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