institution
John S. Ravita Md Pa
Specialist in West Columbia, South Carolina
NPI 1609997055

John S. Ravita Md Pa is a Specialist based in Columbia, SC. John S. Ravita Md Pa practices in West Columbia, SC. The NPI Number for John S. Ravita Md Pa is 1609997055 and holds a License No. 8174 (South Carolina).

The current practice location address for John S. Ravita Md Pa is 2720 Sunset Blvd, West Columbia, SC and can be reached out via phone at 803-791-2598 and via fax at 803-791-2577.

Location: 2720 Sunset Blvd, West Columbia, SC, 29212-8329
institution
Provider Profile Details
NPI Number
1609997055
Provider Name
John S. Ravita Md Pa
Credential
Provider Entity Type
Organization
Address
2720 Sunset Blvd, West Columbia, SC, 29212-8329
Phone Number
803-791-2598
Fax Number
803-791-2577
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA5958 05 SC
institution
Provider Business Practice Location Address Details
Address
2720 Sunset Blvd
City
State
Zip
29169-4810
Phone Number
803-791-2598
Fax Number
803-791-2577
person
Provider Business Mailing Address Details
Address
2720 Sunset Blvd
City
State
Zip
29169-4810
Phone Number
803-791-2598
Fax Number
803-791-2577
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
8174 (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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