Individual
KENNETH BOYCE SAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 E MAIN ST, PICKENS, SC 29671-2319
(864) 898-5800
Mailing address
PO BOX 345, NORRIS, SC 29667-0345
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CPRS-2182
SC
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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