Organization
MEDICAL UNIVERSITY HOSPITAL AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARYN RAE (CHIEF)
(843) 876-1344
Entity
Organization
Contact information
Practice address
2845 E HIGHWAY 76 STE 5, MULLINS, SC 29574-6037
(843) 431-2650
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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