Individual
MRS. OTTAWA HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
145 E CHEVES ST, FLORENCE, SC 29506-2526
(843) 673-6527
Mailing address
153 GRIER CROSSING DR, CONWAY, SC 29526-6170
(843) 344-5734
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
47693
SC
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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