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1912982844
STACEY ROTHWELL
CHARLESTON, SC
NPI
1912982844
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: SC A881)
Enumeration Date
2005-12-14
Last Update Date
2020-10-20
Business Address
Mrs. STACEY ROTHWELL PA-C
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
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Mailing Address
Mrs. STACEY ROTHWELL PA-C
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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