Whalio Doctors

NPI 1114963188

Maria Rudisill Streck

Practitioner Allergy & Immunology Physician Mt Pleasant, SC

Practice location

Address
1440 Ben Sawyer Blvd, Mt Pleasant, SC 29464-5525
Phone
(843) 876-8333
Mailing address
PO Box 602108, Charlotte, NC 28260-2108

Registered specialties (5)

Allergy & Immunology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence TL30868 (SC)
Allergy & Immunology Physician
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 38389 (TN)
Allergy & Immunology Physician
Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 19404 (MS)
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 30868 (SC)
Pediatric Allergy/Immunology Physician
Allopathic & Osteopathic Physicians Taxonomy 2080P0201X Licence 30868 (SC)

Registry record

NPI
1114963188
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Jun 2006
Record last updated
15 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.