Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 31518 | SC |
NPI | 1649488164 |
---|---|
Provider Name | Yuri A Zarate |
First Address | Greenwood, SC 29646-2316 |
Second Address | Columbia, SC 29201-2375 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 14/01/2011 |