Individual
JULIE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1326 OLD FORT RD, MONCKS CORNER, SC 29461-9271
(843) 899-3610
Mailing address
1326 OLD FORT RD, MONCKS CORNER, SC 29461-9271
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
OTA607
FL
Other
Enumeration date
07/13/2011
Last updated
07/13/2011
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