Individual
JUDITH CAMERON MAGUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
240 HOSPITAL DR NE, BOLIVIA, NC 28422-8346
(910) 721-1000
(910) 754-2032
Mailing address
PO BOX 3439, NORTH MYRTLE BEACH, SC 29582-0439
(843) 839-4447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-06175
NC
363AM0700X
Medical Physician Assistant
0010-06175
NC
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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