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NPI Code Detail

MEDICARE: STEFANIE ANN MAUNEY PA

MEDICARE: STEFANIE ANN MAUNEY PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant2434SC
2363A00000XPhysician Assistant2434SC

General Provider Information

NPI Number : 1861864431
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFANIE ANN MAUNEY PA
Provider Business Mailing Address
First Line : 2880 TRICOM ST
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9171
Country : US
Telephone Number : 843-797-5050
Fax Number : 843-797-3633
Provider Business Practice Location Address
First Line : 8740 RIVERS AVE
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29406-9211
Country : US
Telephone Number : 843-572-5990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2015
Last Update Date : 12/12/2025

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Directions to “ STEFANIE ANN MAUNEY PA” Practice Location

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