Individual
JACQUELINE VICTORIA DUGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 SAM RITTENBERG BLVD STE 6, CHARLESTON, SC 29407-5031
(417) 299-3550
Mailing address
1674 FOLLY RD APT 108, CHARLESTON, SC 29412-8701
(417) 299-3550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
SC
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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