Individual
MARIAH BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1520 TWO NOTCH RD SE, AIKEN, SC 29803-5551
(803) 649-3909
Mailing address
104 SHADOW LN, PIEDMONT, SC 29673-8392
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4511
SC
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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