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1295122000
MIESTY WOODBURN
GREENVILLE, SC
NPI
1295122000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: SC 89737)
Enumeration Date
2015-04-20
Last Update Date
2023-08-21
Business Address
MIESTY WOODBURN M.D.
200 PATEWOOD DR STE B350
GREENVILLE, SC 29615-6337
Phone number: 864-454-4500
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Mailing Address
MIESTY WOODBURN M.D.
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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