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Individual

MARIA INGRAHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2070 NORTHBROOK BLVD STE A20, CHARLESTON, SC 29406-9324
(843) 953-4300
Mailing address
421 MEADOW BREEZE LN, CHARLESTON, SC 29414-4833
(520) 975-7189

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
233101
SC
363LF0000X
Family Nurse Practitioner
Primary
24644
SC

Other

Enumeration date
01/20/2017
Last updated
02/08/2021
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