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Individual

WANDA GROVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1530 N FANT ST, ANDERSON, SC 29621-4700
(864) 760-0600
(864) 760-0601
Mailing address
1530 N FANT ST, ANDERSON, SC 29621-4700
(864) 760-0600
(864) 760-0601

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
IHCP-1959
SC

Other

Enumeration date
04/24/2026
Last updated
04/24/2026
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