Individual
MRS. GWENDOLYN BULLARD LEGETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
6641 S HIGHWAY 41, MARION, SC 29571-8400
(843) 362-3500
(843) 362-3506
Mailing address
6641 S HWY 41, MARION, SC 29571
(843) 362-3500
(843) 362-3506
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
35781
SC
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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