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NPI 1740600626 · on the registry since 2014
Practice
- Address
- 1136 Kincaid Bridge Rd
Winnsboro, SC 29180 - Phone
- (803) 635-6481
- Fax
- (803) 635-1410
- Organisation at this address
- State Of South Carlina
Eau Claire Cooperative Health Center, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-04-18
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