Individual
JILL SMITH LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1036 PROFESSIONAL CT, MANNING, SC 29102-2827
(803) 773-5227
Mailing address
385 DELOS RD, KINGSTREE, SC 29556-5433
(843) 372-8620
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25161
SC
Other
Enumeration date
10/29/2021
Last updated
12/07/2023
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