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Individual

DR. EMILY VARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-0269
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2018-01266
NC
208000000X
Pediatrics Physician
MDO82255LL
SC
2080P0216X
Pediatric Rheumatology Physician
Primary
82255
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689053522
NC
01
19WLE
BCBS OF NC
NC
01
NN24560322
MEDICARE
NC
Enumeration date
05/26/2015
Last updated
08/15/2022
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