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Individual

GRACE B WOJNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
16038
SC
207LP3000X
Pediatric Anesthesiology Physician
Primary
16038
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160382
SC
Enumeration date
08/29/2006
Last updated
01/11/2023
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