Individual
MAE EILEEN JANIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1075 N FRASER ST, GEORGETOWN, SC 29440-2848
(843) 527-4442
(843) 527-4027
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4333
CT
Other
Enumeration date
11/13/2018
Last updated
12/03/2025
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