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Individual

MRS. DALE SCURRY BARWICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
123 MAIN ST, PO BOX 69, SUMMERTON, SC 29148
(803) 488-8888
(803) 488-0111
Mailing address
PO BOX 69, SUMMERTON, SC 29148
(803) 488-8888
(803) 488-0111

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN174
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP7622
SC
Enumeration date
02/22/2007
Last updated
02/11/2018
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