Organization · Type 2 NPI

South Carolina Dept of Mental Health Accounting Office

Primary Care Nurse Practitioner · Florence, SC

NPI number 1073113031 Active

Practice location

125 E Cheves St
Florence, SC 29506-2526

Call (843) 317-4073 Map

Mailing address

2414 Bull St
Columbia, SC 29201-1906

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1073113031

South Carolina Dept of Mental Health Accounting Office's National Provider Identifier is 1073113031, issued on Oct 29, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Florence, SC. The record was last updated on Dec 18, 2020.