Individual
TERESA Y PERNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 S 14TH AVE, DILLON, SC 29536-3613
(843) 496-7232
Mailing address
211 S 14TH AVE, DILLON, SC 29536-3613
(843) 496-7232
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
SC
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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