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Contact Information

YASMIN D DELIZ, DO
20 MEDICAL RIDGE DR
GREENVILLE, SC29605-4267
 Phone: 864-522-5220
 Fax: 864-522-5296
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2080S0010X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for YASMIN D DELIZ · (Female)

NPI Number 1093040321
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/05/2009
Last updated 11/09/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MB09091200
  • SC License # 87858
  • SC Medicaid PENDING
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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