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Individual

SAM MESHKINFAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-5605
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-5605

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0102203422
VA
207Y00000X
Otolaryngology Physician
83765
SC
207YS0123X
Facial Plastic Surgery Physician
Primary
0102203422
VA

Other

Enumeration date
08/03/2012
Last updated
10/03/2024
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