Individual
MRS. DONNA MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
105 N MAGNOLIA ST, SUMTER, SC 29150-4941
(843) 773-5511
Mailing address
2611 MERIDIAN ST, FLORENCE, SC 29505-6431
(843) 618-1207
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
229407
SC
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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