Shri Dhanvantri PA
NPI #1124882345 in Duncan, South Carolina
Provider Information
- NPI Number
- 1124882345
- Entity Type
- Organization
- Organization Name
- Shri Dhanvantri PA
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Feb 8, 2024
- Last Updated
- May 21, 2024
Practice Location
- Address
- 1098 E MAIN ST
- City
- Duncan
- State
- South Carolina
- ZIP Code
- 29334-9645
- Phone
- (786) 833-8829
Authorized Official
- Name
- LOUIS LOGAN
- Title
- MANAGER
- Phone
- (301) 259-1222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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