SALLY SELF

CHARLESTON, SC
NPI1417978388
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: SC  9365)
Enumeration Date2006-07-23
Last Update Date2007-07-08
Business Address
-- SALLY SELF MD
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
Mailing Address
-- SALLY SELF MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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