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1346821675
MARIAM DVALISHVILI
GREENVILLE, NC
NPI
1346821675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-19
Last Update Date
2021-04-19
Business Address
Dr. MARIAM DVALISHVILI M.D.
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number: 252-847-4100
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Mailing Address
Dr. MARIAM DVALISHVILI M.D.
2100 STANTONSBURG RD
GREENVILLE, NC 27834-2818
Phone number:
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