Individual
MARY THERESA JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
851 LEONARD FULGHUM BLVD, SUITE 201, MT PLEASANT, SC 29464-3787
(843) 884-5133
(843) 849-3343
Mailing address
851 LEONARD FULGHUM BLVD, SUITE 201, MT PLEASANT, SC 29464-3787
(843) 884-5133
(843) 849-3343
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
16819
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T11605
—
SC
Enumeration date
04/11/2006
Last updated
08/15/2014
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