Individual
ETHEL B DENMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 PAIGE POINT RD., SHELDON, SC 29941
(843) 846-8148
Mailing address
PO BOX 357, RIDGELAND, SC 29936-2605
(843) 987-7400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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