Individual
LAURA STICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
851 LEONARD FULGHUM DR, SUITE 200, MT PLEASANT, SC 29464-3787
(843) 856-3262
Mailing address
851 LEONARD FULGHUM DR, SUITE 200, MT PLEASANT, SC 29464-3787
(843) 856-3262
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28360
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283605
—
SC
Enumeration date
08/21/2006
Last updated
09/19/2014
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