SearchSouth Carolina163WM0102X

Jeana Richardson

NPI 1376103564 · on the registry since 2019

Practice

Address
1931 Industrial Park Rd
Conway, SC 29526
Phone
(834) 915-8800
Organisation at this address
South Carolina Dhec
State Of South Carolina
State Of South Carolina
S.C. Department Of Health And Environmental Control
Inferred from a shared address, not stated in the registry.
Clinicians at this address
47

Additional practice sites

  • 262 Oak Landing Dr, Conway, SC
  • 300 Singleton Ridge Rd, Conway, SC

Registry record

Primary taxonomy
163WM0102X
163WM0102X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina