Individual
DEBORAH LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
124 MALLARD ST, GREENVILLE, SC 29601-4046
(864) 241-1040
Mailing address
124 MALLARD ST, GREENVILLE, SC 29601-4046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
223058
SC
163W00000X
Registered Nurse
475210-1
NY
Other
Enumeration date
01/26/2012
Last updated
06/10/2014
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