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Individual

DR. LUCY WOLTZ PREYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1030 JENKINS RD, SUITE A, CHARLESTON, SC 29407-5500
(843) 766-8820
(843) 766-8817
Mailing address
1030 JENKINS RD, SUITE A, CHARLESTON, SC 29407-5500
(843) 766-8820

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20256
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202569
SC
01
7775
MEDICARE GROUP
SC
01
GP371
MEDICAID GROUP
SC
Enumeration date
05/12/2006
Last updated
09/23/2016
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