Individual
PAMELA ICARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 POWDERHORN RD, SIMPSONVILLE, SC 29681-3399
(864) 963-3421
Mailing address
20 POWDERHORN RD, SIMPSONVILLE, SC 29681-3399
(864) 963-3421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
231701
SC
Other
Enumeration date
09/08/2015
Last updated
09/08/2015
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