Individual
MARY THERESA VEGLIA LADD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-8905
(843) 792-2123
Mailing address
169 ASHLEY AVE RM 202, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-8905
(843) 792-2123
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35789
SC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
35789
SC
Other
Enumeration date
06/11/2013
Last updated
05/12/2016
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