Individual
DR. JULIA M. WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 PROFESSIONAL PARK DR, CONWAY, SC 29526-9260
(843) 234-8260
Mailing address
100 PROFESSIONAL PARK DR, CONWAY, SC 29526-9260
(843) 234-8260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
48695
WI
207R00000X
Internal Medicine Physician
Primary
TL32293
SC
208000000X
Pediatrics Physician
48695
WI
208000000X
Pediatrics Physician
TL32293
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
322939
—
SC
Enumeration date
10/04/2006
Last updated
02/07/2020
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