Individual
NATALIE JULIE PUDALOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 MCCLENNAN BANKS DR, CHARLESTON, SC 29401-1164
(843) 810-7664
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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