Individual
MONICA S SIRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
935 W 2ND ST, SWANSEA, SC 29160-8665
(803) 568-2000
(803) 568-4190
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22984
SC
Other
Enumeration date
07/31/2019
Last updated
11/11/2020
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