Individual
JOANN CONYERS LOCKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 ACADEMY STREET, KINGSTREE, SC 29556
(843) 355-5533
(843) 355-6297
Mailing address
500 ACADEMY STREET, KINGSTREE, SC 29556
(843) 355-5533
(843) 355-6297
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KIKI0392
—
SC
Enumeration date
01/09/2007
Last updated
05/03/2013
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