Individual
MARY WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
658 BULTMAN DRIVE, SUITE Q, SUMTER, SC 29150-2550
(803) 316-4689
Mailing address
658 BULTMAN DRIVE, SUITE Q, SUMTER, SC 29150-2550
(803) 316-4689
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IHCP-1135
SC
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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