Individual
MRS. CAROL JOSEPHINE PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAROL PENN APRN
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-5620
Mailing address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 777-5620
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
370
SC
Other
Enumeration date
08/19/2007
Last updated
08/19/2007
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