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1902291008
VICTORIA SHADIACK
SPARTANBURG, SC
NPI
1902291008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 83156)
Enumeration Date
2015-04-06
Last Update Date
2021-03-25
Business Address
VICTORIA SHADIACK
101 E WOOD ST
SPARTANBURG, SC 29303-3040
Phone number: 864-560-6193
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Mailing Address
VICTORIA SHADIACK
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number: 864-560-4304
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