Individual
JULIE PATRICIA IANNINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 FIRST BAXTER XING, STE 101, FORT MILL, SC 29708-8919
(803) 802-3376
Mailing address
1700 FIRST BAXTER XING, STE 101, FORT MILL, SC 29708-8919
(803) 802-3376
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
29310
SC
207N00000X
Dermatology Physician
—
NC
Other
Enumeration date
06/06/2006
Last updated
02/27/2008
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