Polanco Zacarias, Viarda Licelot

Polanco Zacarias, Viarda Licelot is an individual health care provider with primary practice located at 113 Liner Dr , Greenwood SC 29646-2311. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Polanco Zacarias, Viarda Licelot can be contacted via phone (864) 941-8170.

Contact Information

Primary practice address
113 Liner Dr Greenwood SC 29646-2311
Phone: (864) 941-8170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MMD 37947 MD South Carolina

Profile Details

NPI number 1902202096
LBN Legal business name Polanco Zacarias, Viarda Licelot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2014
Last updated Feb 2nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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