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Individual

BARBARA HEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-4933
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
0101230568
VA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
18180
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006216463
VA
Enumeration date
03/27/2006
Last updated
10/21/2021
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