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Individual

MISS WANDA FAY LOWERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
912 INLET SQUARE DR, MURRELLS INLET, SC 29576-7812
(843) 651-4111
(843) 492-4666
Mailing address
912 INLET SQUARE DR, MURRELLS INLET, SC 29576-7812
(843) 651-4111
(843) 492-4666

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20328
SC
363LF0000X
Family Nurse Practitioner
5004316
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP4248
SC
Enumeration date
03/13/2009
Last updated
07/13/2022
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