Individual
MARSHA WALLER WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 669-3822
Mailing address
3330 EBENEZER CHASE DR, FLORENCE, SC 29501-8006
(843) 665-1865
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN913
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0075
—
SC
Enumeration date
03/23/2006
Last updated
05/01/2013
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