Individual
DR. MIRANDA LYNN WORSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
298 MEMORIAL DR, SENECA, SC 29672-9443
(864) 885-7758
(864) 885-7749
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30109
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301097
—
SC
Enumeration date
06/25/2007
Last updated
06/24/2021
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