JOHN S. RAVITA MD PA
Medical Practice at Sunset Blvd, Cayce-West Columbia, SC

License number
South Carolina 8174
Category
Medical Practice
Type
Specialist
Owner
Name: DR. JOHN SALVATORE RAVITA M.D.
Title: DIRECTOR OF RADIATION MEDICINE
Phone: (803) 791-2598
Address
Address 2
2720 Sunset Blvd, Cayce-West Columbia, SC 29169
104 Windsong Island Ln, Columbia, SC 29212
National Provider ID: 1609997055
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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John S. Ravita MD PA

2720 Sunset Blvd, Cayce-West Columbia, SC 29169

Industry:
Medical Doctor's Office
Medical Doctor:
John S. Ravita (Medical Doctor)

JOHN S. RAVITA, M.D., PA

104 Windsong Is Ln, Columbia, SC 29212

Status:
Inactive
Registration:
Dec 28, 2007
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Expiration:
02/13/2013
Agent:
John S. Ravita

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