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Individual

MICHELLE TRACEY SIMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
124 WIGFALL ST, MONCKS CORNER, SC 29461-3509
(843) 934-9886
Mailing address
124 WIGFALL ST, MONCKS CORNER, SC 29461-3509
(843) 934-9886

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
230698
SC

Other

Enumeration date
08/23/2021
Last updated
08/23/2021
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