Individual
SANDRA VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1714 HIGHWAY 17 S, NORTH MYRTLE BEACH, SC 29582-4041
(843) 361-0705
(843) 361-4045
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024164056
VA
363L00000X
Nurse Practitioner
Primary
843-361-4045
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386671121
—
VA
Enumeration date
06/27/2006
Last updated
11/04/2024
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