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Individual

STEPHANIE NEARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPA, MMS, PAC

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10937
SC
363A00000X
Physician Assistant
6248
AZ

Other

Enumeration date
11/14/2015
Last updated
06/22/2018
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