Organization
JULIA S HAILE MD INFECTIOUS DISEASE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIA S. HAILE M.D. (PHYSICIAN/OWNER)
(843) 556-2651
Entity
Organization
Contact information
Practice address
635 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7174
(843) 556-5621
Mailing address
PO BOX 890484, CHARLOTTE, NC 28289-0484
(843) 556-5621
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
24357
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4715
—
SC
Enumeration date
08/01/2007
Last updated
01/05/2010
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