Provider Demographics
NPI:1225834252
Name:MCFALLS, JULIA
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:MCFALLS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 EVENFALL DR
Mailing Address - Street 2:
Mailing Address - City:BOILING SPRINGS
Mailing Address - State:SC
Mailing Address - Zip Code:29316-6178
Mailing Address - Country:US
Mailing Address - Phone:864-381-2872
Mailing Address - Fax:
Practice Address - Street 1:279 E KENNEDY ST STE 2700
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-1912
Practice Address - Country:US
Practice Address - Phone:864-583-0053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC30010363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily