# FRANCIS MARION UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538750880
- **Authorized official:** JAMIE LEA FORTHMAN (CREDENTIALING MANAGER)
- **Authorized official phone:** (270) 557-6396

## Contact information

- **Practice address:** 201 W EVANS ST, FLORENCE, SC 29501-3427
- **Practice address phone:** (843) 661-1897
- **Practice address fax:** (843) 661-2551
- **Mailing address:** PO BOX 100547, FLORENCE, SC 29502-0547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2021
- **Last updated:** 03/31/2021
