Individual
JESSICA BENTON ALTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
219 S LEMACKS ST, WALTERBORO, SC 29488-4374
(843) 549-1516
Mailing address
1025 RIVERLAND WOODS PL, #408, CHARLESTON, SC 29412-4133
(843) 908-3120
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
20448
SC
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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