Individual
CAMILA VILLACRESES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 261-4830
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8908
(843) 792-6296
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
86061
SC
Other
Enumeration date
03/10/2020
Last updated
06/02/2021
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