Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 36395 | SC |
NPI | 1619255445 |
---|---|
Provider Name | Dr. Swetha Krishnamurthi |
First Address | Greenwood, SC 29646-2316 |
Second Address | Greenwood, SC 29646-2316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2011 |
Last Update Date | 22/12/2021 |