Individual
JULIE MACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 ASHBY PARK LN, GREENVILLE, SC 29607-6903
(864) 286-9050
Mailing address
304 ASHBY PARK LN, GREENVILLE, SC 29607-6903
(864) 286-9050
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27833
SC
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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