Individual
KATHY FUNDERBURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1447 SAWYER RD, MARION, SC 29571-8582
(843) 423-7375
Mailing address
1447 SAWYER RD, MARION, SC 29571-8582
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
37905
SC
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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