Individual provider · NPI-1

Katty Afshar, DO

Family Medicine · Spartanburg, SC

NPI number1114365160
StatusActive
Last updated in NPPESNov 16, 2020

Details

NPI
1114365160
Entity type
Individual (NPI-1)
Name
Katty Afshar
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Jun 12, 2013
Certification date
Nov 16, 2020
Last updated
Nov 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine39368SCYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

101 E Wood St
Spartanburg, SC 29303-3040

Phone 864-560-6554 · Fax 864-560-7353

Mailing address

Po Box 743070
Atlanta, GA 30374-3070

Phone 864-560-4304

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