Individual
SOPHIA STEPHANIE URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
165 ASHLEY AVE # MSC917, CHARLESTON, SC 29425-8905
(843) 792-0435
Mailing address
165 ASHLEY AVE # MSC917, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL52653
SC
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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