Individual
LILIA ODEMCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 PELHAM LN, ANDERSON, SC 29621-3335
(864) 844-9432
Mailing address
100 E WASHINGTON ST STE A, GREENVILLE, SC 29601-2744
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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