Individual
JULIEMAR BONILLA FURR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1000
Mailing address
148 DEVONBROOK PL, LONGS, SC 29568-6534
(843) 455-5648
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20956
SC
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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