Individual
SHARI STEPHENS WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1550 CAROLINA AVE, ORANGEBURG, SC 29115-4944
(803) 533-5480
Mailing address
162 SKE BO DR, REEVESVILLE, SC 29471-4110
(843) 560-0773
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
53761
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E21845
VACCINES
SC
Enumeration date
01/12/2021
Last updated
01/12/2021
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