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Individual

JANDRETTE ATAYAE RHOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
755 US HIGHWAY 21 S, RIDGEWAY, SC 29130-6844
(803) 337-2920
(803) 337-3010
Mailing address
755 US HIGHWAY 21 S, RIDGEWAY, SC 29130-6844
(803) 337-2920
(803) 337-3010

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22453
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
T67120
SC
Enumeration date
10/10/2006
Last updated
06/01/2011
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