Individual
MRS. MARIE ANNETTE ELAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 S MAIN ST, WOODRUFF, SC 29388-1867
(864) 476-2111
(864) 476-6012
Mailing address
4 YARDLEY CT, SIMPSONVILLE, SC 29681-4467
(864) 967-7527
(864) 476-6012
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10303
SC
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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