Individual
MARIA VERONICA BANDRES URBINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
176 WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526-8965
(843) 347-7115
(843) 347-7116
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PATIENT ACCOUNTING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
85116
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
851162
—
SC
Enumeration date
07/02/2016
Last updated
09/16/2021
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