Individual
MRS. JODIE LYNN WINGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6543
(864) 560-6377
Mailing address
PO BOX 277723, ATLANTA, GA 30384-7723
(864) 560-4123
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
35029
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11931
HOSPITAL ID NUMBER
SC
05
—
AN0218
—
SC
Enumeration date
02/25/2007
Last updated
03/05/2012
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