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Individual

CINDI BODERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
23 PLANTATION PARK DR STE 101, BLUFFTON, SC 29910-6072
(843) 815-6555
Mailing address
23 PLANTATION PARK DR STE 101, BLUFFTON, SC 29910-6072

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN629928
PA
363L00000X
Nurse Practitioner
Primary
25808
SC
363L00000X
Nurse Practitioner
SP017242
PA

Other

Enumeration date
01/09/2017
Last updated
07/14/2025
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