Individual
JULIANA MAVELLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
370 S PIKE W, SUMTER, SC 29150-2664
(803) 774-4500
(803) 774-4629
Mailing address
550 S PIKE W, SUMTER, SC 29150-2616
(803) 324-6975
(803) 324-6975
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
94429
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
944296
—
SC
Enumeration date
03/30/2022
Last updated
08/13/2025
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