Individual
JULIANNA MARIE DETRANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7 S ALLIANCE DR STE 211B, GOOSE CREEK, SC 29445-7297
(843) 553-4383
(843) 553-4384
Mailing address
201 SIGMA DR STE 100, SUMMERVILLE, SC 29486-7722
(843) 553-4383
(843) 553-4384
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3753
SC
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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