Individual
CHLOE LEORA JEAN LUKE WALBOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MUSC 2829 E HIGHWAY 76 MULLINS, MULLINS, SC 29574-2957
(843) 431-2000
Mailing address
3700 HIGHWAY 554, LORIS, SC 29569-6528
(843) 421-5888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/06/2021
Last updated
08/20/2021
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