Individual
ANA MARIA MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, SUITE 309, CHARLESTON, SC 29425-0908
(843) 792-1086
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
30553
SC
Other
Enumeration date
04/28/2008
Last updated
12/15/2010
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