Irene Moore Jolly

NPI 1114950417 - Counselor - 101Y00000X

NPI Details
NPI 1114950417
Gender Female
Enumeration Date 07/09/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
164 WACCAMAW MEDICAL PARK DR
CONWAY SC, 29526-8903, US
Phone (843) 347-5060
Fax
Business Location
2380 MCCUTCHEN RD
KINGSTREE SC, 29556-5454, US
Phone (843) 382-9442
Fax
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Irene Moore Jolly NPI is 1114950417, taxonomy code is 101Y00000X Irene Moore Jolly physically located at 164 Waccamaw Medical Park Dr, Conway SC, 29526-8903. NPI Number Irene Moore Jolly has the Individual type.

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1114950417 NPI number is provided on an as is basis without warranty of any kind. 1114950417 is maintained by the National Plan & Provider Enumeration System. The contents of Irene Moore Jolly are for informational purposes only.