Individual
TINA MUMFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3767 GARNER RD, TIMMONSVILLE, SC 29161-9247
(803) 673-8465
Mailing address
3767 GARNER RD, TIMMONSVILLE, SC 29161-9247
(803) 673-8465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
226484
SC
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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