Individual
MRS. MARCIA MCCAMMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 N MAGNOLIA ST, SUMTER, SC 29150-4943
(803) 775-9364
Mailing address
215 N MAGNOLIA ST, SUMTER, SC 29150-4943
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
51156
SC
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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