Individual
MARY KATHLEEN WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, MSC 908, DEPARTMENT OF PATHOLOGY, CHARLESTON, SC 29425-8905
(843) 792-6381
Mailing address
171 ASHLEY AVE, MSC 908, DEPARTMENT OF PATHOLOGY, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
LL 29157
SC
Other
Enumeration date
10/23/2006
Last updated
03/15/2011
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