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1952006603
AUSTIN DETAVIS
GREER, SC
NPI
1952006603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: SC LL89914)
Enumeration Date
2023-04-03
Last Update Date
2023-07-12
Business Address
AUSTIN DETAVIS
109 PHYSICIANS DR
GREER, SC 29650-2446
Phone number: 864-797-8856
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Mailing Address
AUSTIN DETAVIS
109 PHYSICIANS DR
GREER, SC 29650-2446
Phone number:
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