Individual
SHERRITA TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1736 MAIN ST S, GREENWOOD, SC 29646-4100
(864) 942-3600
Mailing address
108 DELTA DR, HODGES, SC 29653-9740
(864) 900-6310
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
48820
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48820
—
SC
Enumeration date
11/18/2020
Last updated
11/18/2020
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