Individual
MRS. REBECCA WILSON WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 FLEETWOOD DR, EASLEY, SC 29640-2022
(864) 442-7200
Mailing address
128 OAK HVN, PICKENS, SC 29671-9467
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17878
SC
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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