institution
Yazdy-sokhandan Pa
Specialist in Greenville, South Carolina
NPI 1104000694

Yazdy-sokhandan Pa is a Specialist based in Greenville, SC. Yazdy-sokhandan Pa practices in Greenville, SC. The NPI Number for Yazdy-sokhandan Pa is 1104000694 and holds a License No. 17953 (South Carolina).

The current practice location address for Yazdy-sokhandan Pa is 357 Woodruff Rd, Greenville, SC and can be reached out via phone at 864-627-5337 and via fax at 864-627-9301.

Location: 357 Woodruff Rd, Greenville, SC, 29607-3415
institution
Provider Profile Details
NPI Number
1104000694
Provider Name
Yazdy-sokhandan Pa
Credential
Provider Entity Type
Organization
Address
357 Woodruff Rd, Greenville, SC, 29607-3415
Phone Number
864-627-5337
Fax Number
864-627-9301
Provider Enumeration Date
12/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
T20518 05 SC
institution
Provider Business Practice Location Address Details
Address
357 Woodruff Rd
City
State
Zip
29607-3415
Phone Number
864-627-5337
Fax Number
864-627-9301
person
Provider Business Mailing Address Details
Address
357 Woodruff Rd
City
State
Zip
29607-3415
Phone Number
864-627-5337
Fax Number
864-627-9301
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
17953 (South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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