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Individual

MARY HENDERSON JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
180 WINGO WAY, SUITE 304, MT PLEASANT, SC 29464-1810
(843) 884-8045
(843) 881-5081
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
38383
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
383837
SC
Enumeration date
06/19/2008
Last updated
05/26/2021
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