Individual
VONNY WHITTINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 JOHN ST, LAKE CITY, SC 29560-2411
(843) 394-2031
Mailing address
1075 STATE HWY 247, CORONA, NM 88318
(803) 720-1817
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18011
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407108954
OCC HEALTH WORK SITE
—
05
—
363L00000X
—
SC
Enumeration date
10/09/2012
Last updated
05/17/2024
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