Individual
LESLIE ETHRIDGE BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-5060
(843) 347-3959
Mailing address
260 DEER SPRINGS LOOP, GEORGETOWN, SC 29440-8975
(843) 858-4528
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
104812
SC
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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