Search › South Carolina › 363A00000X
Erryn Provencher, PA-C
NPI 1568828432 · on the registry since 2016
Practice
- Address
- 674 W Liberty St
Sumter, SC 29150 - Phone
- (803) 773-5227
- Fax
- (803) 757-4010
- Organisation at this address
- Colonial Family Practice, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-30
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