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1538277405
CELIA C THIEDKE
CHARLESTON, SC
NPI
1538277405
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 12563)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
CELIA C THIEDKE MD
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
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Mailing Address
CELIA C THIEDKE MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-1414
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