Individual
EVELYNN MARIE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
3170 TUCKAWAY DR, SUMTER, SC 29154-8048
(803) 983-0099
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
23307
SC
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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