Individual
MR. EARNEST EDWARD MAGAZINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 TURNER RD, FLORENCE, SC 29506-3436
(843) 346-9190
(843) 346-9190
Mailing address
1101 TURNER RD, FLORENCE, SC 29506-3436
(843) 346-9190
(843) 346-9190
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
083490
SC
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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