Organization
VIRTUOUS PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYNAKA KWANS WILSON FNP (FAMILY NURSE PRACTITIONER)
(843) 206-5346
Entity
Organization
Contact information
Practice address
1116 COURTLAND AVE., FLORENCE, SC 29505
(843) 687-6952
Mailing address
4158 PLANER RD, EFFINGHAM, SC 29541
(843) 687-6952
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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