Individual
MARGARET WYNKOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1627 E NORTH ST, GREENVILLE, SC 29607-1361
(864) 420-7482
Mailing address
10 SIRRINE DR, GREENVILLE, SC 29605-1137
(864) 420-7482
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6909
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710222856
AMBER DEGARMO
SC
Enumeration date
08/03/2018
Last updated
08/03/2018
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