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Individual

NAVNEET GUPTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
213 E BUTLER ROAD, SUITE F1, MAULDIN, SC 29662-2172
(864) 284-0470
(864) 284-0471
Mailing address
213 E BUTLER RD STE F1, MAULDIN, SC 29662-2172
(864) 284-0470
(864) 284-0471

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27306
SC
208100000X
Physical Medicine & Rehabilitation Physician
41890
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273064
SC
Enumeration date
08/29/2005
Last updated
05/27/2022
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