Individual
MOLLY FRAGOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
167 ASHLEY AVE STE 301, CHARLESTON, SC 29425-8905
(843) 792-5699
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4110
SC
Other
Enumeration date
09/10/2021
Last updated
12/28/2023
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