Individual
JULIANNE WEDDELL INGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2294 OTRANTO RD, NORTH CHARLESTON, SC 29406-9603
(843) 225-2550
Mailing address
2730 BOLINAS CT, CHARLESTON, SC 29414-6686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21153
SC
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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