Individual
LILLIE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1931 INDUSTRIAL PARK RD, CONWAY, SC 29526-5482
(843) 915-5655
(843) 915-6477
Mailing address
1950 HERITAGE RD, LORIS, SC 29569-6734
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
77314
SC
163WC1500X
Community Health Registered Nurse
77314
SC
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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