Individual
BEVERLY H TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 E MARION ST, KERSHAW, SC 29067-1442
(803) 475-3475
(803) 475-5360
Mailing address
PO BOX 1259, CAMDEN, SC 29021-1259
(803) 713-8350
(803) 713-8433
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN587
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0177
—
SC
Enumeration date
11/14/2005
Last updated
10/10/2007
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