Individual
MRS. JULIE WOODS STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7697 CHARLOTTE HWY, INDIAN LAND, SC 29707-9653
(803) 396-1525
Mailing address
PO BOX 1350, WAXHAW, NC 28173-1014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17631
SC
Other
Enumeration date
03/02/2012
Last updated
06/19/2020
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