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NACHIKET DATAR

Family Medicine Physician

NPI: 1104310671IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Family Medicine

Code: 207Q00000X

2021030733(MO)

CMS Specialties

PrimaryFAMILY PRACTICE

Education

OTHER

Class of 2018

Contact & Hours

Address
809 82ND PARKWAY GRAND STRAND MEDICAL CENTER/, GME OFFICE
MYRTLE BEACH, SC 29572

Quick Facts

NPI
1104310671
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
8

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