Individual
MS. BEVERLY Y SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503A BLOOMVILLE RD., MANNING, SC 29102
(803) 435-9737
(803) 435-9838
Mailing address
215 N. MAGNOLIA ST., SUMTER, SC 29151-1946
(803) 775-9364
(803) 773-6615
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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