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Individual

KATHARINE WALLACE WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
727 CARRIAGE HILL RD, SIMPSONVILLE, SC 29681-5281
(864) 386-2622
Mailing address
727 CARRIAGE HILL RD, SIMPSONVILLE, SC 29681-5281

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25910
SC

Other

Enumeration date
07/19/2022
Last updated
07/19/2022
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