Individual
MARY NICHOLS LOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1033 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7156
(843) 723-6111
(843) 727-2973
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
10/22/2025
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