Individual
JULIANNA WOMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425
(843) 792-8972
Mailing address
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LL82542
SC
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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