Individual
SEAN ANTHONY MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
178 HIGHWAY 321 BYPASS N., WINNSBORO, SC 29180
(803) 635-2335
(803) 653-9695
Mailing address
PO BOX 388, WINNSBORO, SC 29180-0388
(803) 635-2335
(803) 635-9695
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
SC
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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