Individual
CATHY B MULLOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, ANP-BC
Contact information
Practice address
3422 BEACON DR, SUMTER, SC 29154-8213
(843) 367-2315
Mailing address
3422 BEACON DR, SUMTER, SC 29154-8213
(843) 367-2315
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
200731
SC
363LA2200X
Adult Health Nurse Practitioner
Primary
4270
SC
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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