Individual
JAMIE ROBERTS WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
616 MARTIN LUTHER KING AVE, KINGSTREE, SC 29556-4104
(843) 355-6823
(843) 355-1523
Mailing address
616 MARTIN LUTHER KING AVE, KINGSTREE, SC 29556-4104
(843) 355-6823
(843) 355-1523
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P40392
SC
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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