Individual
MRS. GEORGIA LYNN PLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4303 LIVE OAK DR, LITTLE RIVER, SC 29566-9138
(843) 663-8000
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
18205
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181491500
—
MD
05
—
NP2389
—
SC
Enumeration date
09/20/2005
Last updated
03/24/2015
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