Individual
DR. ANDREA L. MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
109 BEE ST, S-116, CHARLESTON, SC 29401-5703
(843) 789-7108
Mailing address
109 BEE ST, S-116, CHARLESTON, SC 29401-5703
(843) 789-7108
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28918
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T81818
—
SC
Enumeration date
11/01/2006
Last updated
09/18/2015
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