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Individual

MARGARETT ANN WALDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
853 N CHURCH ST STE 620, SPARTANBURG, SC 29303-3070
(864) 573-7511
(864) 560-1690
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1124257
TX
363LF0000X
Family Nurse Practitioner
Primary
25932
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
SCM5605206
MEDICARE PIN
SC
Enumeration date
01/11/2017
Last updated
11/08/2023
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