Individual
RACHEL MARCIA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7671 NORTHWOODS BLVD, STE L, NORTH CHARLESTON, SC 29406-4058
(843) 324-2956
(843) 871-9341
Mailing address
169 DANZID DR, SUMMERVILLE, SC 29483-9281
(843) 871-9341
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6077
SC
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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