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Individual

JOICE ALEY MUCKOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-2566
Mailing address
5853 S YAMPA ST, CENTENNIAL, CO 80015-2900
(303) 261-6869

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1790489797
SC

Other

Enumeration date
03/27/2023
Last updated
07/25/2023
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