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1992006225
CARLY MICHELLE MCDONALD
CHARLESTON, SC
NPI
1992006225
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Former Name
CARLY MICHELLE FREILICH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 1580)
Enumeration Date
2010-11-03
Last Update Date
2013-09-10
Business Address
-- CARLY MICHELLE MCDONALD PA
171 ASHLEY AVE
CHARLESTON, SC 29425-0100
Phone number: 843-792-1414
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Mailing Address
-- CARLY MICHELLE MCDONALD PA
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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