Individual
DR. MARY CAMILLE HIOTT NUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12 W SOUTH ST, MANNING, SC 29102-2925
(803) 433-4124
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
(843) 667-1362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30103
SC
207Q00000X
Family Medicine Physician
LL30103
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301033
—
SC
Enumeration date
06/29/2007
Last updated
06/29/2023
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