Individual
AQUILLA BEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1268 S 4TH ST, HARTSVILLE, SC 29550-0703
(843) 332-0118
Mailing address
1268 S 4TH ST, HARTSVILLE, SC 29550-0703
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN2510
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0885
—
SC
Enumeration date
08/18/2006
Last updated
09/01/2017
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