Individual
MU EN HU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3980 HIGHWAY 9 E STE 100, LITTLE RIVER, SC 29566-8163
(580) 585-5545
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 390-8320
(843) 390-8329
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
87567
SC
Other
Enumeration date
04/09/2019
Last updated
07/22/2022
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