Individual
SAMANTHA LEE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 774-9092
Mailing address
3120 FOXCROFT CIR, SUMTER, SC 29154-6075
(803) 315-1739
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
226151
SC
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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