Individual
PAMELA DEMITRA LEVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
935 W 2ND ST, SWANSEA, SC 29160-8665
(803) 568-2000
(803) 468-4190
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN 1217
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1217
LICENSE
SC
Enumeration date
02/06/2007
Last updated
11/09/2020
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