Individual
MARIA RUDISILL STRECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 BEN SAWYER BLVD, MT PLEASANT, SC 29464-5525
(843) 876-8333
Mailing address
PO BOX 602108, CHARLOTTE, NC 28260-2108
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
19404
MS
207K00000X
Allergy & Immunology Physician
38389
TN
207K00000X
Allergy & Immunology Physician
Primary
TL30868
SC
208000000X
Pediatrics Physician
30868
SC
2080P0201X
Pediatric Allergy/Immunology Physician
30868
SC
Other
Enumeration date
06/20/2006
Last updated
10/15/2020
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