Individual
LENA ANNE SANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 BUSINESS CENTER DR, PAWLEYS ISLAND, SC 29585-7963
(843) 314-1314
(843) 314-1307
Mailing address
64 BUSINESS CENTER DR, PAWLEYS ISLAND, SC 29585-7963
(843) 314-1314
(843) 314-1307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36697
SC
208000000X
Pediatrics Physician
36697
SC
Other
Enumeration date
03/23/2010
Last updated
08/12/2014
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