Individual
MARY HUNTER STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1055 RIBAUT RD STE 30, BEAUFORT, SC 29902-5447
(843) 476-4702
(843) 479-4290
Mailing address
1055 RIBAUT RD STE 30, BEAUFORT, SC 29902-5447
(843) 476-4702
(843) 479-4290
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4051
SC
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4748PA
—
SC
Enumeration date
04/07/2021
Last updated
03/15/2023
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