Individual
JULIE COVINGTON CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 BROAD ST, CHARLESTON, SC 29401-2437
(843) 297-8033
Mailing address
120 BROAD ST, CHARLESTON, SC 29401-2437
(843) 297-8033
(843) 207-4701
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
66292
SC
Other
Enumeration date
03/22/2018
Last updated
03/22/2018
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