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MARGARET VERONICA DIEBOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
X

Contact information

Practice address
6975 ANTONIO LN, MYRTLE BEACH, SC 29588-6492
(732) 504-9580
Mailing address
151B RUTLEDGE AVE # MSC962, CHARLESTON, SC 29425-8903
(732) 504-9580

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
08/05/2025
Last updated
08/20/2025
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