Individual
ADRIENNE LICARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 N 8TH AVE, SUITE 1A, DILLON, SC 29536-2549
(843) 774-2478
Mailing address
705 N 8TH AVE, SUITE 1A, DILLON, SC 29536-2549
(843) 774-2478
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
20000
SC
Other
Enumeration date
02/19/2016
Last updated
09/21/2016
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