Individual
DR. PAMELA LYNN JUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 847-3225
Mailing address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 847-3225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME61937
FL
207RI0200X
Infectious Disease Physician
ME61937
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372525100
—
FL
Enumeration date
12/19/2005
Last updated
06/13/2013
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