Individual
MRS. FREEDOM LEE PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1516 VILLAGE HARBOR DR, LAKE WYLIE, SC 29710-9060
(803) 752-4200
(803) 752-4300
Mailing address
743 IRISH GREEN DR, CLOVER, SC 29710-6076
(724) 712-6880
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24909
SC
363LF0000X
Family Nurse Practitioner
SP015911
PA
Other
Enumeration date
02/03/2016
Last updated
07/01/2024
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