LONDON JUDITH MICCICHI

MOUNT PLEASANT, SC
NPI1861115313
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  4588)
Enumeration Date2022-09-20
Last Update Date2024-05-20
Business Address
LONDON JUDITH MICCICHI PA-C
180 WINGO WAY STE 207
MOUNT PLEASANT, SC 29464-1811
Phone number: 843-884-5101
Mailing Address
LONDON JUDITH MICCICHI PA-C
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620