AUSTIN DETAVIS

GREER, SC
NPI1952006603
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: SC  LL89914)
Enumeration Date2023-04-03
Last Update Date2023-07-12
Business Address
AUSTIN DETAVIS
109 PHYSICIANS DR
GREER, SC 29650-2446
Phone number: 864-797-8856
Mailing Address
AUSTIN DETAVIS
109 PHYSICIANS DR
GREER, SC 29650-2446
Phone number:
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