| NPI | 1760083562 |
|---|---|
| Doing Business As | VIDUYA FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | CHELSEY DEVER Credentialing Coordinator 843-697-5168 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2026-03-26 |