Individual
MRS. REBECCA HORNUNG JIANNUZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
312 MIDLAND PARKWAY, SUMMERVILLE, SC 29485-8102
(843) 875-6262
(843) 873-7958
Mailing address
312 MIDLAND PARKWAY, SUMMERVILLE, SC 29485-8102
(843) 875-6262
(843) 873-7958
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20051312
SC
363LP0200X
Pediatric Nurse Practitioner
2803
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028035
—
SC
Enumeration date
01/19/2006
Last updated
02/17/2012
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